| Pollack | |
|
1699 King St Suite 208 Enfield CT 06082-6051 | |
| (860) 749-5881 | |
| (860) 776-2420 |
| Full Name | Pollack |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1699 King St, Enfield, Connecticut |
| Authorized Official Name and Position | Ira A Pollack (OWNER) |
| Authorized Official Contact | 8607495881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pollack 1699 King Street Suite 208 Enfield CT 06082-4585 Ph: (860) 749-5881 | Pollack 1699 King St Suite 208 Enfield CT 06082-6051 Ph: (860) 749-5881 |
| NPI Number | 1861670275 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861670275 | NPI | - | NPPES |
| 001410224 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 041022 (Connecticut) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 041022 (Connecticut) | Secondary |
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