NPI | 1851767933 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS 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 | 2015-08-12 |
Last Update Date | 2025-01-06 |