| Counseling & Gynecology Group P C | |
|
123 Dwight Rd Ste 204 Longmeadow MA 01106-1748 | |
| (413) 374-9287 | |
| (413) 707-0018 |
| Full Name | Counseling & Gynecology Group P C |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 123 Dwight Rd Ste 204, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Max Chorowski (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4135679355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Gynecology Group P C 123 Dwight Rd Ste 204 Longmeadow MA 01106-1748 Ph: (413) 374-9287 | Counseling & Gynecology Group P C 123 Dwight Rd Ste 204 Longmeadow MA 01106-1748 Ph: (413) 374-9287 |
| NPI Number | 1992871602 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 2062594880 |
|---|---|
| Medicare Enrollment ID | O20080131000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992871602 | NPI | - | NPPES |
| 29397 | Other | CHILDRENS MED SECURITY PL | |
| 789175 | Other | CONNECTICARE | |
| 7906443 | Other | AETNA US HEALTHCARE PSYCH | |
| M14857 | Other | BCBS GYNECOLOGY CORP | |
| 17846 | Other | CT | LICENSE NUMBER |
| 4210483 | Other | AETNA US HEALTHCARE GYN | |
| N51732 | Other | BCBS GYNECOLOGY INDIV | |
| V03951 | Other | BCBS PSYCHIATRY INDIV | |
| 9757139 | Other | MEDICAID GROUP | |
| 130408 | Other | HARVARD PILGRIM | |
| M17234 | Other | BCBS PSYCHIATRY CORP | |
| 7U210 | Other | EMPIRE BLUE CROSS | |
| O114774 | Other | MEDICAID INDIVIDUAL | |
| O459212 | Other | AETNA US HEALTH CARE INDV | |
| 0452662003 | Other | CIGNA PAL ID | |
| 2082565 | Other | AETNA US HEALTHCARE CORP | |
| 46072 | Other | MA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Max Chorowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215132402 PECOS PAC ID: 5496765463 Enrollment ID: I20060504000704 |
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