Provider Demographics
NPI:1275805939
Name:KATEY COFRANCESCO LLC
Entity Type:Organization
Organization Name:KATEY COFRANCESCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COFRANCESCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-387-5015
Mailing Address - Street 1:1079 WHALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1783
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1079 WHALLEY AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1783
Practice Address - Country:US
Practice Address - Phone:203-387-5015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty