Veronica Stanek, PA-C

Individual provider Active NPI Medical Physician Assistant · Kensington, CT

NPI 1275544744 · NPPES record last updated Oct 15, 2014

Key facts

NPI
1275544744
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
000224 (CT)
Practice address
211 New Britain Rd
Suite 105
Kensington, CT 06037-1360
Phone
(860) 224-9879
Fax
(860) 224-0565
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000224CTMDAcupuncturist
224CTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Connecticut Rehabili Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000224 CT
Medical Physician Assistant 363AM0700X 000224 CT Yes

Addresses

Primary practice location

211 New Britain Rd
Suite 105
Kensington, CT 06037-1360

Mailing address

4 Farm Springs Rd
Prohealth Physicians
Farmington, CT 06032-2573
Phone (860) 284-5200

Other providers in Kensington, CT

All providers in Kensington, CT · Medical Physician Assistant in Connecticut

Sources for this page

Verify at the official NPI Registry.