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CONNECTICUT HEADACHE AND MIGRAINE RELIEF CENTER LLC NPI 1053713800


NPI Information

NPI: 1053713800
Provider Name: CONNECTICUT HEADACHE AND MIGRAINE RELIEF CENTER LLC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
235 GLENVILLE RD
SUITE 2B
GREENWICH, CT
ZIP 06831
Phone: (203) 531-5688
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CONNECTICUT HEADACHE AND MIGRAINE RELIEF CENTER LLC is a neuromusculoskeletal medicine sports medicine in Greenwich, CT. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ CONNECTICUT HEADACHE AND MIGRAINE RELIEF CENTER LLC NPI is 1053713800. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

235 GLENVILLE RD
SUITE 2B
GREENWICH, CT
ZIP 06831-148
Phone: (203) 531-5688
Fax: (203) 531-5663

The provider's authorized official is Thomas Anzalone .
The authorized official title is Owner and has the following contact phone number (203) 531-5688.

The enumeration date for this NPI number is 9/24/2014 and was last updated on 9/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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