| NPI | 1326362799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND E. WINICKI Principal Member 203-753-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |