| Neuroglee Care Pllc | |
|
83 Wooster Hts Ste 125 Danbury CT 06810-7550 | |
| (857) 557-5777 | |
| Not Available |
| Full Name | Neuroglee Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 83 Wooster Hts Ste 125, Danbury, Connecticut |
| Authorized Official Name and Position | Ravi Patel (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3523138000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroglee Care Pllc 101 Arch St Fl 8 Boston MA 02110-7500 Ph: () - | Neuroglee Care Pllc 83 Wooster Hts Ste 125 Danbury CT 06810-7550 Ph: (857) 557-5777 |
| NPI Number | 1407531890 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Medicare PECOS PAC ID | 5698141240 |
|---|---|
| Medicare Enrollment ID | O20230803000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407531890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sheela Swaminatha Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992983589 PECOS PAC ID: 6305001199 Enrollment ID: I20230803001260 |
| Provider Name | Michele Javadpoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124422951 PECOS PAC ID: 0648264531 Enrollment ID: I20231212002663 |
| Provider Name | Tanvi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609429794 PECOS PAC ID: 7618208372 Enrollment ID: I20241204002703 |
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