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1 Bradley Rd Suite 905 Woodbridge CT 06525-2285 | |
| (203) 298-9005 | |
| (203) 298-9006 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Bradley Rd, Woodbridge, Connecticut |
| Authorized Official Name and Position | Vanessa L Acampora (MANAGER) |
| Authorized Official Contact | 2032989005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1 Bradley Rd Ste 404 Woodbridge CT 06525-2235 Ph: (203) 298-9005 | 1 Bradley Rd Suite 905 Woodbridge CT 06525-2285 Ph: (203) 298-9005 |
| NPI Number | 1528326808 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/17/2024 |
| Certification Date | 10/27/2021 |
| Medicare PECOS PAC ID | 8820315534 |
|---|---|
| Medicare Enrollment ID | O20150317002265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528326808 | NPI | - | NPPES |
| Provider Name | Heather C Pizzanello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508941527 PECOS PAC ID: 3173603669 Enrollment ID: I20080109000823 |
| Provider Name | David M Aversa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669655726 PECOS PAC ID: 8123197746 Enrollment ID: I20080521000687 |
| Provider Name | Cynthia A Palmisano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437286614 PECOS PAC ID: 5698790863 Enrollment ID: I20081223000452 |
| Provider Name | Stephen F Morley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316291396 PECOS PAC ID: 7012145469 Enrollment ID: I20140111000003 |
| Provider Name | Ashley Donovan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225443708 PECOS PAC ID: 3678890399 Enrollment ID: I20150318000031 |
| Provider Name | Gabriella F Greco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972768604 PECOS PAC ID: 5496056921 Enrollment ID: I20160323002174 |
| Provider Name | Dana Hoffman Blustajn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114227154 PECOS PAC ID: 1658661012 Enrollment ID: I20160526001527 |
| Provider Name | Susan Galarraga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457655458 PECOS PAC ID: 2860782133 Enrollment ID: I20160531000197 |
| Provider Name | Paul A Donovan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497204127 PECOS PAC ID: 9537448139 Enrollment ID: I20161123001333 |
| Provider Name | Katherine M Mala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245633767 PECOS PAC ID: 6608142716 Enrollment ID: I20171017003015 |
| Provider Name | Sarah S Monteleone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265587331 PECOS PAC ID: 7719246925 Enrollment ID: I20180116002033 |
| Provider Name | Kayla M Frick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932655354 PECOS PAC ID: 7416216106 Enrollment ID: I20180126000694 |
| Provider Name | Eric B Fabricant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922304849 PECOS PAC ID: 2567723273 Enrollment ID: I20180220002480 |
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