Organization Name: | FIREFLY AFTER HOURS PEDIATRICS |
NPI Number: | 1023281797 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STUART C. SILVERSTEIN (PRESIDENT/OWNER) |
Mailing Address: | 1011 High Ridge Rd Stamford |
State: | CT US |
Postal Code: | 069051610 |
Phone Number: | 2039681900 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2008 |
NPI Last Update Date: | 07/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |