Provider Demographics
NPI:1013136993
Name:MONSALVE-SMITH, ASTRID (DC)
Entity Type:Individual
Prefix:DR
First Name:ASTRID
Middle Name:
Last Name:MONSALVE-SMITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 PARTRICK AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-2620
Mailing Address - Country:US
Mailing Address - Phone:203-845-0014
Mailing Address - Fax:
Practice Address - Street 1:98 EAST AVE
Practice Address - Street 2:REAR BLDG.
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5029
Practice Address - Country:US
Practice Address - Phone:203-853-0021
Practice Address - Fax:203-853-0026
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001583111N00000X
NYX010909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT3729012OtherAETNA
CT050001583CT01OtherANTHEM BLUE CROSS & BLUE
CT424695700OtherANTHEM BLUECARE
CTV03229Medicare UPIN
CT350001375Medicare ID - Type Unspecified