| NPI | 1437702784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DAYYA Owner 203-972-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |