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BOND STREET PARTNERS LLC NPI 1356710040


NPI Information

NPI: 1356710040
Provider Name: BOND STREET PARTNERS, LLC

Former Legal Business Name: MEDICAL HYPNOSIS CENTER OF SANDY HOOK LLC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
68 WALNUT TREE HILL RD
SANDY HOOK, CT
ZIP 06482
Phone: (203) 257-3130
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BOND STREET PARTNERS, LLC is a family nurse practitioner in Sandy Hook, CT. BOND STREET PARTNERS, LLC NPI is 1356710040. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Medical Hypnosis Center Of Sandy Hook Llc.

The provider's business location address is:

68 WALNUT TREE HILL RD
SANDY HOOK, CT
ZIP 06482-073
Phone: (203) 257-3130

The provider's authorized official is John Matthew Lujanac .
The authorized official title is Member and has the following contact phone number (203) 257-3130.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 7/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily002370CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P04039MEDICARE UPINCONNECTICUT
2D100264648MEDICARE PINCONNECTICUT
3008062900MEDICAIDCONNECTICUT
4500001276MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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