Provider Demographics
NPI:1992871602
Name:COUNSELING & GYNECOLOGY GROUP P C
Entity type:Organization
Organization Name:COUNSELING & GYNECOLOGY GROUP P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MAX
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-567-9355
Mailing Address - Street 1:123 DWIGHT RD STE 204
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1748
Mailing Address - Country:US
Mailing Address - Phone:413-374-9287
Mailing Address - Fax:413-707-0018
Practice Address - Street 1:123 DWIGHT RD STE 204
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1748
Practice Address - Country:US
Practice Address - Phone:413-374-9287
Practice Address - Fax:413-707-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
29397OtherCHILDRENS MED SECURITY PL
789175OtherCONNECTICARE
7906443OtherAETNA US HEALTHCARE PSYCH
M14857OtherBCBS GYNECOLOGY CORP
CT17846OtherLICENSE NUMBER
4210483OtherAETNA US HEALTHCARE GYN
N51732OtherBCBS GYNECOLOGY INDIV
V03951OtherBCBS PSYCHIATRY INDIV
9757139OtherMEDICAID GROUP
130408OtherHARVARD PILGRIM
M17234OtherBCBS PSYCHIATRY CORP
7U210OtherEMPIRE BLUE CROSS
O114774OtherMEDICAID INDIVIDUAL
O459212OtherAETNA US HEALTH CARE INDV
0452662003OtherCIGNA PAL ID
2082565OtherAETNA US HEALTHCARE CORP
MA46072OtherLICENSE NUMBER
7U210OtherEMPIRE BLUE CROSS
N51732OtherBCBS GYNECOLOGY INDIV