Active NPIIndividual provider

Ms. Heather M Rynkowski, PA-C

Physician Assistant, Surgical in New London, Connecticut

NPI Number1477980480
Practice location
365 Montauk Ave, Office # 3.525, New London, CT 06357
Fax
860-271-4988
Last updated
November 8, 2018

Heather Michelle Rynkowski is a Physician Assistant, Surgical based in New London, CT. Heather Michelle Rynkowski practices in New London, CT and has the professional credentials of PA-C. The NPI Number for Heather Michelle Rynkowski is 1477980480 and holds a License No. 23.003003 (CT). The current practice location address for Heather Michelle Rynkowski is 365 Montauk Ave, Office # 3.525, New London, CT 06357 and can be reached out via phone at 860-442-0711 and via fax at 860-271-4988.

Provider Profile Details

NPI Number
1477980480
Provider Name
Heather Michelle Rynkowski
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
365 Montauk Ave, Office # 3.525, New London, CT 06357
Phone Number
860-442-0711
Fax Number
860-271-4988
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
Heather Michelle Reznik, PA-C (Former Name)
Provider Enumeration Date
October 4, 2013
Last Update Date
November 8, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave
Office # 3.525
New London, CT 06357
Zip
06357
Phone Number
860-442-0711
Fax Number
860-271-4988
New London, CT 06357Get directions →

Provider Business Mailing Address Details

Address
365 Montauk Ave
Office # 3.525
New London, CT 06357
City
New London
State
CT
Zip
06357
Phone Number
860-442-0711
Fax Number
860-271-4988

License Information

License Number (1)
23.003003
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
23.003003
License State (2)
CT
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
00729
License State (3)
RI
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X
License Number (4)
3003
License State (4)
CT
Taxonomy (4)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Heather M Rynkowski, PA-C?

The NPI number of Ms. Heather M Rynkowski, PA-C is 1477980480. It was assigned on October 4, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Heather M Rynkowski, PA-C?

Ms. Heather M Rynkowski, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 23.003003.

Where does Ms. Heather M Rynkowski, PA-C practice?

The practice location is 365 Montauk Ave, Office # 3.525, New London, CT 06357. The office can be reached at 860-442-0711 (phone) or 860-271-4988 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477980480 directly on the NPPES registry website.

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