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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023201589 | NPPES |
| Connecticut | MEDICAID | 004025177 | |
| Connecticut | MEDICAID | 004041729 |
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