Podolski, Mariela

Podolski, Mariela is an individual health care provider with primary practice located at 433 S Main St Ste 327 , West Hartford CT 06110-2816. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Podolski, Mariela can be contacted via phone (860) 410-4007.

Contact Information

Primary practice address
433 S Main St Ste 327 West Hartford CT 06110-2816
Phone: (860) 410-4007
Fax: (860) 955-4804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 266869 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 050622 Connecticut
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 8279 Connecticut
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 266869 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 050622 Connecticut

Profile Details

NPI number 1023201589
LBN Legal business name Podolski, Mariela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2007
Last updated Jun 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023201589 NPPES
Connecticut MEDICAID 004025177
Connecticut MEDICAID 004041729

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