| Blossom Health Llc | |
|
1300 Division Road Suite 301 West Warwick RI 02893 | |
| (401) 586-6877 | |
| (833) 792-0895 |
| Full Name | Blossom Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1300 Division Road, West Warwick, Rhode Island |
| Authorized Official Name and Position | Dana Siperstein (OWNER) |
| Authorized Official Contact | 4015866877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Health Llc 1300 Division Road Suite 301 West Warwick RI 02893 Ph: (401) 586-6877 | Blossom Health Llc 1300 Division Road Suite 301 West Warwick RI 02893 Ph: (401) 586-6877 |
| NPI Number | 1316692320 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316692320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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