| Koni Aprn Family Practice Llc | |
|
53 New Britain Ave Ste 7 Rocky Hill CT 06067-1175 | |
| (860) 729-4646 | |
| (860) 785-8343 |
| Full Name | Koni Aprn Family Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 53 New Britain Ave Ste 7, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Aida Koni (MEMBER) |
| Authorized Official Contact | 8607298434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Koni Aprn Family Practice Llc 53 New Britain Ave Ste 7 Rocky Hill CT 06067-1175 Ph: (860) 729-4646 | Koni Aprn Family Practice Llc 53 New Britain Ave Ste 7 Rocky Hill CT 06067-1175 Ph: (860) 729-4646 |
| NPI Number | 1740823640 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 5597199299 |
|---|---|
| Medicare Enrollment ID | O20200106002843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740823640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Aida Koni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659825974 PECOS PAC ID: 3971882648 Enrollment ID: I20161121001414 |
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