Organization
PROGRESSIVE CARE MEDICAL GROUP OF CT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK PATEL MD (AUTHORIZED OFFICIAL)
(516) 855-5255
Entity
Organization
Contact information
Practice address
917 MILL HILL TER, SOUTHPORT, CT 06890-3200
(203) 204-3012
Mailing address
PO BOX 1040, SYOSSET, NY 11791-0010
(800) 860-3274
(888) 910-1059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
11/25/2025
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