Organization
THIRD STONE INTEGRATIVE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE PROCYK ND (OWNER/PROVIDER)
(860) 572-9566
Entity
Organization
Contact information
Practice address
3 WILDWOOD MEDICAL CTR, ESSEX, CT 06426-1155
(860) 661-4662
(860) 661-4654
Mailing address
3 WILDWOOD MEDICAL CTR, ESSEX, CT 06426-1155
(860) 661-4662
(860) 661-4654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447616941
NPPES
—
Enumeration date
06/26/2020
Last updated
06/26/2020
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