| NPI | 1609082809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DESIR Director 203-281-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 23715) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 31302) |
| 174400000X Specialist (Licence: CT 39467) | |
| 174400000X Specialist (Licence: CT 042113) | |
| 174400000X Specialist (Licence: CT 042899) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-03-05 |