| NPI | 1528866050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE NICOLE CASIMIR Owner 203-621-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |