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Organization
TEAL DRAGON HEALING, LLC
Active
Organization
TEAL DRAGON HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADENA BLICKSTEIN MD (CEO)
(917) 613-0886
Entity
Organization
Contact information
Practice address
1177 HIGH RIDGE RD STE 119, STAMFORD, CT 06905-1221
(831) 272-2676
Mailing address
1177 HIGH RIDGE RD STE 119, STAMFORD, CT 06905-1221
(831) 272-2676
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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