Gaudenzi, Stacey

Gaudenzi, Stacey is an individual health care provider with primary practice located at 131 Kent Rd , New Milford CT 06776-3485. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gaudenzi, Stacey can be contacted via phone (860) 350-3330.

Contact Information

Primary practice address
131 Kent Rd New Milford CT 06776-3485
Fax:
Website:

Profile Details

NPI number 1699880955
LBN Legal business name Gaudenzi, Stacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Feb 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699880955 NPPES
Connecticut Other 003057 LICENSE #

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