Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 276 | CT |
NPI | 1013080373 |
---|---|
Provider Name | Steven Leonti |
First Address | New Haven, CT 06511-4923 |
Second Address | New Haven, CT 06511-4923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 08/07/2007 |