| NPI | 1487983342 |
|---|---|
| Former Legal Business Name | NEW HORIZONS MEDICAL, PC |
| Entity Type | Organization |
| Authorized Contact | OXANA ANTONEVICH President 617-202-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical (Licence: MA 1027846) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 207Q00000X Family Medicine (Licence: MA 239893) | |
| 207R00000X Internal Medicine (Licence: MA 31597) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA 36288) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MA 223037) | |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: MA 80808) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 227760) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MA 49416) | |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2023-05-15 |