Pollack

LBN: Pollack
Pollack is an health care organization with primary practice located at 1699 King St Suite 208, Enfield CT 06082-6051. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Pollack can be contacted via phone (860) 749-5881, or through Pollack, Ira A via phone (860) 749-5881.

Contact Information

Primary practice address
1699 King St Suite 208 Enfield CT 06082-6051
Phone: (860) 749-5881
Fax: (860) 776-2420
Website:
Map and Directions
Authorized official contact:
Name: Pollack, Ira A
Phone: (860) 749-5881

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 041022 Connecticut
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 041022 Connecticut

Profile Details

NPI number 1861670275
LBN Legal business name Pollack
DBA Doing business as
Authorized official Pollack, Ira A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2008
Last updated Jul 17th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861670275 NPPES
Connecticut MEDICAID 001410224

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