| Snbcare | |
|
61 Lincoln St Ste 203 Framingham MA 01702-8264 | |
| (508) 500-6166 | |
| (508) 500-6167 |
| Full Name | Snbcare |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 61 Lincoln St Ste 203, Framingham, Massachusetts |
| Authorized Official Name and Position | Furquan Ali Syed (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5088167276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Snbcare 61 Lincoln St Ste 203 Framingham MA 01702-8264 Ph: (781) 666-2711 | Snbcare 61 Lincoln St Ste 203 Framingham MA 01702-8264 Ph: (508) 500-6166 |
| NPI Number | 1356906572 |
|---|---|
| Provider Enumeration Date | 05/02/2019 |
| Last Update Date | 11/14/2022 |
| Certification Date | 11/14/2022 |
| Medicare PECOS PAC ID | 2860721362 |
|---|---|
| Medicare Enrollment ID | O20190909003262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356906572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Syed Iftikhar Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144285081 PECOS PAC ID: 3678512779 Enrollment ID: I20050428000160 |
| Provider Name | Melody Celine L'etoile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942687108 PECOS PAC ID: 8123353505 Enrollment ID: I20190708000746 |
| Provider Name | Fauzia Wali Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699761965 PECOS PAC ID: 0345221925 Enrollment ID: I20200306000793 |
| Provider Name | Erin Elizabeth Oliva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407349632 PECOS PAC ID: 2668882978 Enrollment ID: I20201027002638 |
| Provider Name | Jessica Melo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326665472 PECOS PAC ID: 9234549981 Enrollment ID: I20201109000312 |
| Provider Name | Justin Souliere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710576004 PECOS PAC ID: 9032523691 Enrollment ID: I20210122001828 |
| Provider Name | Allie Dicostanzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669045738 PECOS PAC ID: 5799182549 Enrollment ID: I20210922000886 |
| Provider Name | Jennifer M Lafleur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730314287 PECOS PAC ID: 0143616748 Enrollment ID: I20220408000102 |
| Provider Name | Roseline Ekema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528720356 PECOS PAC ID: 3779977277 Enrollment ID: I20220516000951 |
| Provider Name | Ashley C Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831859206 PECOS PAC ID: 3779960315 Enrollment ID: I20220519001832 |
| Provider Name | Prisca Hefti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508133182 PECOS PAC ID: 6901106103 Enrollment ID: I20220805002560 |
| Provider Name | Timothy J. Pepin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619606662 PECOS PAC ID: 3375927585 Enrollment ID: I20220923001318 |
| Provider Name | Lynn Austrheim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679607204 PECOS PAC ID: 3577809037 Enrollment ID: I20230125002602 |
| Provider Name | Leap Sok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346935178 PECOS PAC ID: 5092180547 Enrollment ID: I20230414000174 |
| Provider Name | Chellee Furbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609358753 PECOS PAC ID: 7214289479 Enrollment ID: I20230705002895 |
| Provider Name | Melissa Burl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083476014 PECOS PAC ID: 7618310293 Enrollment ID: I20240212000177 |
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