| NPI | 1700600053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J ABBENANTE Owner 203-245-0412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 207QS1201X Family Medicine Sleep Medicine | |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |