| NPI | 1902753650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. SOPHIA BELNAVIS Owner/Manager 203-299-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-06-09 |