| Pedirite Medical Ct Pllc | |
|
55 Grand St New Britain CT 06052-2021 | |
| (212) 764-0008 | |
| Not Available |
| Full Name | Pedirite Medical Ct Pllc |
|---|---|
| Speciality | General Practice |
| Location | 55 Grand St, New Britain, Connecticut |
| Authorized Official Name and Position | Sol Klein (MEMBER) |
| Authorized Official Contact | 2127640008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedirite Medical Ct Pllc 267 Broadway Fl 2 Brooklyn NY 11211-6216 Ph: () - | Pedirite Medical Ct Pllc 55 Grand St New Britain CT 06052-2021 Ph: (212) 764-0008 |
| NPI Number | 1316557309 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Medicare PECOS PAC ID | 2062831191 |
|---|---|
| Medicare Enrollment ID | O20200923001502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316557309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Theresa Djama |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265828818 PECOS PAC ID: 1557607488 Enrollment ID: I20190910001164 |
| Provider Name | Cassandre Sophia Aman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700374956 PECOS PAC ID: 1658778717 Enrollment ID: I20211228001094 |
| Provider Name | Shivani H Panchal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295267730 PECOS PAC ID: 6002235132 Enrollment ID: I20220705000155 |
| Provider Name | Stephanie Haddad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659863157 PECOS PAC ID: 3173931474 Enrollment ID: I20240531002555 |
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