| NPI | 1194742957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH CIARCIA Owner 203-483-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 022385) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 25093) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CT 1766) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-07-31 |