GENERAL PRIZE ONE CORP NPI 1255636635

NPI Information

  • NPI: 1255636635
  • Provider Name: GENERAL PRIZE ONE CORP
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1177 HIGH RIDGE RD
    STAMFORD, CT
    ZIP 06905
  • Phone: (203) 321-2158

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NPI Details

GENERAL PRIZE ONE CORP is a general practice in Stamford, CT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GENERAL PRIZE ONE CORP NPI is 1255636635. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1177 HIGH RIDGE RD
STAMFORD, CT
ZIP 06905-221
Phone: (203) 321-2158

The provider's authorized official is Evgeniy Tatarov .
The authorized official title is Owner and has the following contact phone number (203) 321-2158.

The enumeration date for this NPI number is 1/17/2011 and was last updated on 1/17/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 11/21/2025

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