| Anchor Health Initiative Corp. | |
|
30 Myano Ln Ste 16 Stamford CT 06902-4532 | |
| (203) 674-1102 | |
| Not Available |
| Full Name | Anchor Health Initiative Corp. |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 Myano Ln Ste 16, Stamford, Connecticut |
| Authorized Official Name and Position | Patricia Walsh Chadwick (CEO) |
| Authorized Official Contact | 2036980676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Health Initiative Corp. 30 Myano Ln Ste 16 Stamford CT 06902-4532 Ph: () - | Anchor Health Initiative Corp. 30 Myano Ln Ste 16 Stamford CT 06902-4532 Ph: (203) 674-1102 |
| NPI Number | 1245773191 |
|---|---|
| Provider Enumeration Date | 11/27/2016 |
| Last Update Date | 04/19/2024 |
| Medicare PECOS PAC ID | 1759641038 |
|---|---|
| Medicare Enrollment ID | O20180206000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245773191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Susan M Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013999028 PECOS PAC ID: 8123121506 Enrollment ID: I20070306000440 |
| Provider Name | Joseph Xavier Canarie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801243217 PECOS PAC ID: 2365736659 Enrollment ID: I20200902002532 |
| Provider Name | Sharon K Alkerstedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346893807 PECOS PAC ID: 0345660700 Enrollment ID: I20201118002564 |
| Provider Name | Reia Massaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689385767 PECOS PAC ID: 8123498318 Enrollment ID: I20230104001835 |
| Provider Name | Kisha M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841919768 PECOS PAC ID: 2365813581 Enrollment ID: I20230126002710 |
| Provider Name | Jennifer Ann Suski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033572813 PECOS PAC ID: 5799077459 Enrollment ID: I20230420000856 |
| Provider Name | Lorna Seybolt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508950247 PECOS PAC ID: 6305871096 Enrollment ID: I20240606003098 |
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