| Albin Primary Care LLC | |
|
31 Old Route 7 Brookfield CT 06804-1711 | |
| (203) 740-4455 | |
| (203) 740-4477 |
| Full Name | Albin Primary Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 31 Old Route 7, Brookfield, Connecticut |
| Authorized Official Name and Position | Dmitry Anatolyevich Albin (OWNER) |
| Authorized Official Contact | 3525527499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albin Primary Care LLC Po Box 89 Brookfield CT 06804-0089 Ph: (352) 460-8811 | Albin Primary Care LLC 31 Old Route 7 Brookfield CT 06804-1711 Ph: (203) 740-4455 |
| NPI Number | 1821859208 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 6305284381 |
|---|---|
| Medicare Enrollment ID | O20240410000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821859208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Dmitry a Albin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295906345 PECOS PAC ID: 8729148010 Enrollment ID: I20150602000512 |
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