Provider Demographics
NPI:1003353442
Name:HEALTH CARE ADVOCATES INTERNATIONAL, LLC
Entity Type:Organization
Organization Name:HEALTH CARE ADVOCATES INTERNATIONAL, LLC
Other - Org Name:GARY BLICK MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-345-0404
Mailing Address - Street 1:2595 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-5855
Mailing Address - Country:US
Mailing Address - Phone:203-345-0404
Mailing Address - Fax:203-908-4110
Practice Address - Street 1:2595 MAIN ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-5855
Practice Address - Country:US
Practice Address - Phone:203-345-0404
Practice Address - Fax:203-908-4110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT027524207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001275247Medicaid
NY02555264Medicaid
CTD400053529Medicare PIN
CT001275247Medicaid