| Mark J. Ostrowski, Psy.d. Llc | |
|
999 Summer St Suite 200 Stamford CT 06905-5546 | |
| (203) 967-4995 | |
| (203) 357-9030 |
| Full Name | Mark J. Ostrowski, Psy.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 999 Summer St, Stamford, Connecticut |
| Authorized Official Name and Position | Mark J. Ostrowski (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2039674995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J. Ostrowski, Psy.d. Llc 999 Summer St Suite 200 Stamford CT 06905-5546 Ph: (203) 967-4995 | Mark J. Ostrowski, Psy.d. Llc 999 Summer St Suite 200 Stamford CT 06905-5546 Ph: (203) 967-4995 |
| NPI Number | 1346649589 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Medicare PECOS PAC ID | 0648550889 |
|---|---|
| Medicare Enrollment ID | O20161206001163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346649589 | NPI | - | NPPES |
| 008039686 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 002433 (Connecticut) | Primary |
| Provider Name | Mark J Ostrowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700022324 PECOS PAC ID: 4284686569 Enrollment ID: I20050215000428 |
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