Cardamone, Philip S.

Cardamone, Philip S. is an individual health care provider with primary practice located at 152 Deming St Providercare Plus, South Windsor CT 06074-3740. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cardamone, Philip S. can be contacted via phone (860) 644-4472.

Contact Information

Primary practice address
152 Deming St Providercare Plus South Windsor CT 06074-3740
Phone: (860) 644-4472
Fax: (860) 644-3001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 001393 Connecticut

Profile Details

NPI number 1891772844
LBN Legal business name Cardamone, Philip S.
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 30th, 2009 - about 17 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 1891772844 NPPES
Connecticut MEDICAID 004080511

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