| Neuropsychology And Brain Injury Rehabilitation Services, Pc | |
|
2558 Whitney Ave Hamden CT 06518-3046 | |
| (203) 230-2199 | |
| (203) 230-2242 |
| Full Name | Neuropsychology And Brain Injury Rehabilitation Services, Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2558 Whitney Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Eugene B. Piasetsky (PRESIDENT) |
| Authorized Official Contact | 2032302199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology And Brain Injury Rehabilitation Services, Pc 2558 Whitney Ave Hamden CT 06518-3046 Ph: (203) 230-2199 | Neuropsychology And Brain Injury Rehabilitation Services, Pc 2558 Whitney Ave Hamden CT 06518-3046 Ph: (203) 230-2199 |
| NPI Number | 1447560677 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Medicare PECOS PAC ID | 3072789031 |
|---|---|
| Medicare Enrollment ID | O20111222000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447560677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 01445 (Connecticut) | Primary |
| Provider Name | Eugene B Piasetsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942424189 PECOS PAC ID: 4981870946 Enrollment ID: I20111230000440 |
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