| NPI | 1235702762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN CRISTIANO Program Coordinator 203-709-6479 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |