| NPI | 1811318785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ELIA CEO 203-407-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0334) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2021-12-17 |