| Neurology Associates Of Norwalk, P.c. | |
|
637 West Ave Suite 200 Norwalk CT 06850-4004 | |
| (203) 853-5000 | |
| (203) 853-5001 |
| Full Name | Neurology Associates Of Norwalk, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 637 West Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | John R Gagne (PRACTICE MANAGER) |
| Authorized Official Contact | 2038535000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of Norwalk, P.c. 605 West Avenue Second Floor Norwalk CT 06850-4004 Ph: (203) 853-5000 | Neurology Associates Of Norwalk, P.c. 637 West Ave Suite 200 Norwalk CT 06850-4004 Ph: (203) 853-5000 |
| NPI Number | 1306917992 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/21/2022 |
| Certification Date | 03/09/2021 |
| Medicare PECOS PAC ID | 6406855709 |
|---|---|
| Medicare Enrollment ID | O20061214000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306917992 | NPI | - | NPPES |
| 004001616 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Connecticut) | Primary |
| Provider Name | James Lloyd Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306928445 PECOS PAC ID: 5294732038 Enrollment ID: I20061108000552 |
| Provider Name | Louis J Cuzzone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407957103 PECOS PAC ID: 2769481068 Enrollment ID: I20101220000002 |
| Provider Name | Amy M Knorr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255432043 PECOS PAC ID: 7113926411 Enrollment ID: I20101220000006 |
| Provider Name | Irina Taraban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871694562 PECOS PAC ID: 9931108230 Enrollment ID: I20101220000009 |
| Provider Name | Daryl R Story |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174624860 PECOS PAC ID: 0840299145 Enrollment ID: I20101220000016 |
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