Provider Demographics
NPI:1477688125
Name:BIOMETRICS
Entity Type:Organization
Organization Name:BIOMETRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DZURENDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-261-1162
Mailing Address - Street 1:115 TECHNOLOGY DR
Mailing Address - Street 2:SUITE CP102
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6337
Mailing Address - Country:US
Mailing Address - Phone:203-261-1162
Mailing Address - Fax:203-452-9949
Practice Address - Street 1:481 WOLCOTT ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-1247
Practice Address - Country:US
Practice Address - Phone:203-755-6670
Practice Address - Fax:203-755-1047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT005001988Medicaid
CT005001988Medicaid