| Impact Specialty Solutions Ct PC | |
|
850 Mix Ave Hamden CT 06514-2102 | |
| (212) 734-6621 | |
| Not Available |
| Full Name | Impact Specialty Solutions Ct PC |
|---|---|
| Speciality | Family Medicine |
| Location | 850 Mix Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Eli Wercberger (OFFICER) |
| Authorized Official Contact | 9176272130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Specialty Solutions Ct PC 250 Skillman St Ste 202 Brooklyn NY 11205-1218 | Impact Specialty Solutions Ct PC 850 Mix Ave Hamden CT 06514-2102 Ph: (212) 734-6621 |
| NPI Number | 1053261123 |
|---|---|
| Provider Enumeration Date | 01/29/2026 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Medicare PECOS PAC ID | 4486129848 |
|---|---|
| Medicare Enrollment ID | O20260414000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053261123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Simon Fensterszaub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003077322 PECOS PAC ID: 5890970230 Enrollment ID: I20190411001855 |
| Provider Name | Yosef Seewald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942684956 PECOS PAC ID: 9830407444 Enrollment ID: I20230209003085 |
| Provider Name | Eli Wercberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023679974 PECOS PAC ID: 0446616494 Enrollment ID: I20260414000517 |
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