| Alessandra Buonopane Md Psychiatry And Addiction Llc | |
|
192 S Main St Middletown CT 06457-3727 | |
| (860) 347-2366 | |
| (860) 347-1525 |
| Full Name | Alessandra Buonopane Md Psychiatry And Addiction Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 192 S Main St, Middletown, Connecticut |
| Authorized Official Name and Position | Alessandra Buonopane (OWNER) |
| Authorized Official Contact | 2036409185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alessandra Buonopane Md Psychiatry And Addiction Llc 192 S Main St Middletown CT 06457-3727 Ph: (860) 347-2366 | Alessandra Buonopane Md Psychiatry And Addiction Llc 192 S Main St Middletown CT 06457-3727 Ph: (860) 347-2366 |
| NPI Number | 1528341740 |
|---|---|
| Provider Enumeration Date | 09/23/2011 |
| Last Update Date | 09/23/2011 |
| Medicare PECOS PAC ID | 8921412206 |
|---|---|
| Medicare Enrollment ID | O20210127002651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528341740 | NPI | - | NPPES |
| H52712 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 039423 (Connecticut) | Primary |
| Provider Name | Alessandra Buonopane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457423493 PECOS PAC ID: 2062519903 Enrollment ID: I20210127002747 |
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