Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000552 | CT |
NPI | 1023482916 |
---|---|
Provider Name | Dr. Shyron J Alston |
First Address | Stamford, CT 06906-0763 |
Second Address | Norwalk, CT 06851-5711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2015 |
Last Update Date | 07/09/2017 |