Organization
STAMFORD CENTER FOR INTEGRATIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KACHKO ND, LAC (OWNER)
(929) 379-0921
Entity
Organization
Contact information
Practice address
1200 HIGH RIDGE RD, 2ND FLOOR, STAMFORD, CT 06905
(929) 379-0920
(929) 379-0925
Mailing address
1200 HIGH RIDGE RD, 2ND FLOOR, STAMFORD, CT 06905
(929) 379-0920
(929) 379-0925
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
202D00000X
Integrative Medicine Physician
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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