| NPI | 1457024259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYNA L GIRODANO Owner 203-562-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |