Organization
ASCEND AUTISM MEDICAL DIAGNOSTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN KRONFORST (VICE PRESIDENT)
(617) 233-9907
Entity
Organization
Contact information
Practice address
15 KETCHUM ST LOWR LEVEL, WESTPORT, CT 06880-5959
(877) 323-8668
(203) 547-6280
Mailing address
22 SAW MILL RIVER RD STE 308, HAWTHORNE, NY 10532-1533
(877) 323-8668
(203) 547-6280
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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