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 | Sheela Swaminatha Myers (OWNER) |
Authorized Official Contact | 7046674120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Neuroglee Care Pllc Po Box 33507 Belfast ME 04915-0613 Ph: () - | Neuroglee Care Pllc 83 Wooster Hts Ste 125 Danbury CT 06810-7550 Ph: (857) 557-5777 |
NPI Number | 1407531890 |
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Provider Enumeration Date | 06/21/2023 |
Last Update Date | 08/25/2023 |
Medicare PECOS PAC ID | 5698141240 |
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Medicare Enrollment ID | O20230803000379 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407531890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Sheela Swaminatha Myers |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1992983589 PECOS PAC ID: 6305001199 Enrollment ID: I20230803001260 |
Provider Name | Michele Javadpoor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124422951 PECOS PAC ID: 0648264531 Enrollment ID: I20231212002663 |
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