Provider Demographics
NPI:1124036199
Name:DR LEONARDO J SCLAFANI COMMUNITY CHIROPRACTIC
Entity Type:Organization
Organization Name:DR LEONARDO J SCLAFANI COMMUNITY CHIROPRACTIC
Other - Org Name:SCLAFANI CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SCLAFANI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-831-0006
Mailing Address - Street 1:188 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-3619
Mailing Address - Country:US
Mailing Address - Phone:203-831-0006
Mailing Address - Fax:203-831-0614
Practice Address - Street 1:188 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-3619
Practice Address - Country:US
Practice Address - Phone:203-831-0006
Practice Address - Fax:203-831-0614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT050000482CT01OtherANTHEM BCBS
CT050000482CT01OtherANTHEM BCBS