Provider Demographics
NPI:1336300144
Name:REALITY LLC
Entity Type:Organization
Organization Name:REALITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:COLONDONA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-556-0790
Mailing Address - Street 1:PO BOX 764
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-0764
Mailing Address - Country:US
Mailing Address - Phone:203-556-0790
Mailing Address - Fax:203-502-8064
Practice Address - Street 1:10 ROCKY RIDGE DR
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-5339
Practice Address - Country:US
Practice Address - Phone:203-556-0790
Practice Address - Fax:203-502-8064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT824111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty