Provider Demographics
NPI:1154861094
Name:A TEAM PERFORMANCE AND CHIROPRACTIC
Entity Type:Organization
Organization Name:A TEAM PERFORMANCE AND CHIROPRACTIC
Other - Org Name:ATPPLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:ACCOMANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-581-1927
Mailing Address - Street 1:1 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-2260
Mailing Address - Country:US
Mailing Address - Phone:203-939-1465
Mailing Address - Fax:
Practice Address - Street 1:1 N WATER ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-2260
Practice Address - Country:US
Practice Address - Phone:203-939-1465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-26
Last Update Date:2017-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2066261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service