Provider Demographics
NPI:1780790501
Name:EFK OF CONNECTICUT, INC.
Entity type:Organization
Organization Name:EFK OF CONNECTICUT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PANICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-333-9433
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-0188
Mailing Address - Country:US
Mailing Address - Phone:203-333-9433
Mailing Address - Fax:203-752-9341
Practice Address - Street 1:208 QUINNIPIAC AVE
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3626
Practice Address - Country:US
Practice Address - Phone:203-333-9433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTL015P33416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport