CONNECTICUT HEADACHE AND MIGRAINE RELIEF CENTER LLC (NPI# 1053713800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053713800 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT HEADACHE AND MIGRAINE RELIEF CENTER LLC |
| Practice Address |
235 Glenville Rd Suite 2b Greenwich CT 06831-4148 |
| Practice Telephone | 2035315688 |
| Practice Fax Number | 2035315663 |
| Mailing Telephone | 2035315688 |
| Mailing Fax Number | 2035315663 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Authorized Official Name | DR. THOMAS ANZALONE (OWNER) |
| Authorized Official Telephone | 2035315688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
235 GLENVILLE RD SUITE 2B |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720171713 | Anthony Ilardo | Dentist | 235 Glenville Rd, Greenwich, CT 06831-4148 | 2006-10-02 |
| 1326476458 | Integrity Dental of Greenwich LLC | Dentist | 235 Glenville Rd, 2nd Floor, Greenwich, CT 06831-4148 | 2013-10-29 |
| 1407949498 | Thomas Anzalone | Dentist | 235 Glenville Rd, Greenwich, CT 06831-4148 | 2006-10-02 |
| 1982797981 | Greenwich Dental Care | Dentist | 235 Glenville Rd, Greenwich, CT 06831-4148 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407876733 | William Joseph Garrity | Neuromusculoskeletal Medicine, Sports Medicine | 230b Mountain Rd, Suffield, CT 06078-2094 | 2006-07-20 |
| 1841283744 | Albert J Kozar | Neuromusculoskeletal Medicine, Sports Medicine | 54 W Avon Rd, Suite 202, Avon, CT 06001-3680 | 2005-08-25 |
| 1902899800 | Paul David Tortland | Neuromusculoskeletal Medicine, Sports Medicine | 59 Sycamore St, #301, Glastonbury, CT 06033-4535 | 2005-08-25 |
| 1730186222 | Kevin J Reagan | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-06-30 |
| 1831429885 | Westsports Medicine Inc | Neuromusculoskeletal Medicine, Sports Medicine | 166 East Ave, Norwalk, CT 06851-5725 | 2010-01-13 |
| 1649403320 | Integrated Medical of Danbury, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 46 Mill Plain Rd, Danbury, CT 06811-5140 | 2009-08-28 |
| 1871799635 | Valley Sports Physicians & Orthopedic Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 54 W Avon Rd, Suite 202, Avon, CT 06001-3680 | 2007-06-26 |
| 1063628295 | Ward J Mcfarland Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 32 Trumbull St, C/o R Fabbri, M.d., New Haven, CT 06511-6310 | 2007-05-15 |
| 1598898843 | Joshua B Frank | Neuromusculoskeletal Medicine, Sports Medicine | 761 Main Ave, Suite 115, Norwalk, CT 06851-1080 | 2007-03-14 |
| 1740311208 | Michael Lance Gerstenfeld | Neuromusculoskeletal Medicine, Sports Medicine | 46 Mill Plain Rd, Danbury, CT 06811-5140 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.