| City Of Hartford Hartford Public Schools | |
|
960 Main St Hartford CT 06103-1224 | |
| (860) 695-8000 | |
| Not Available |
| Full Name | City Of Hartford Hartford Public Schools |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 960 Main St, Hartford, Connecticut |
| Authorized Official Name and Position | Nydia Gonzalez (NURSE PRACTITIONER) |
| Authorized Official Contact | 8606958000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Hartford Hartford Public Schools 25 Timothy Ter Windsor CT 06095-1653 Ph: (860) 219-0336 | City Of Hartford Hartford Public Schools 960 Main St Hartford CT 06103-1224 Ph: (860) 695-8000 |
| NPI Number | 1295169589 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 08/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295169589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 363FL0000X (Connecticut) | Primary |
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