| Organization Name: | ALLISON B RESNICK D.C. LLC |
| NPI Number: | 1053758383 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALLISON BETH RESNICK (OWNER) |
| Mailing Address: | 5 Pequot Park Rd Suite 201a Westbrook |
| State: | CT US |
| Postal Code: | 064982856 |
| Phone Number: | 8603918068 |
| Fax Number: | 8603918072 |
| NPI Enumeration Date: | 05/28/2013 |
| NPI Last Update Date: | 05/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 001868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |