| NPI | 1679835086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES CZIBULKA Physician Partner 203-234-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 004907) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-07-16 |