Organization
HARTFORD HEADACHE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA R BILCHIK MD (DIRECTOR HARTFORD HEADACHE CENTER)
(860) 895-3133
Entity
Organization
Contact information
Practice address
144 MAIN STREET, SUITE D, EAST HARTFORD, CT 06118
(860) 895-3133
(860) 895-3131
Mailing address
144 MAIN STREET, SUITE D, EAST HARTFORD, CT 06118
(860) 895-3133
(860) 895-3131
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03156
MEDICARE PTAN
CT
Enumeration date
05/18/2006
Last updated
02/09/2016
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