| Windsor Psychiatric Services, Pllc | |
|
88 Day Hill Rd Ste 104 Windsor CT 06095-2200 | |
| (959) 255-8080 | |
| (959) 255-8081 |
| Full Name | Windsor Psychiatric Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 88 Day Hill Rd Ste 104, Windsor, Connecticut |
| Authorized Official Name and Position | Mahboob Ahmad Aslam (SOLE PROPRIETOR) |
| Authorized Official Contact | 8609691101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Windsor Psychiatric Services, Pllc 88 Day Hill Rd Ste 104 Windsor CT 06095-2200 Ph: (959) 255-8080 | Windsor Psychiatric Services, Pllc 88 Day Hill Rd Ste 104 Windsor CT 06095-2200 Ph: (959) 255-8080 |
| NPI Number | 1316523582 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Medicare PECOS PAC ID | 0446636781 |
|---|---|
| Medicare Enrollment ID | O20221010002797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316523582 | NPI | - | NPPES |
| 047643 | Other | CT | CT LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mahboob A Aslam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801094479 PECOS PAC ID: 5991850646 Enrollment ID: I20090901000257 |
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