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NPI Code Detail

MEDICARE: SARA HEATHER NIEGO M.D.

MEDICARE:   SARA HEATHER NIEGO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician044574CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730193814
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA HEATHER NIEGO M.D.
Provider Business Mailing Address
First Line : 52 BEACH RD
Second Line : STE 104
City : FAIRFIELD
State : CT
Zip : 06824-6017
Country : US
Telephone Number : 203-254-2000
Fax Number :
Provider Business Practice Location Address
First Line : 200 RETREAT AVENUE
Second Line : HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT
City : HARTFORD
State : CT
Zip : 06106-3310
Country : US
Telephone Number : 860-545-7330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 12/04/2019

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Directions to “ SARA HEATHER NIEGO M.D.” Practice Location

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