Madyda, Crystal B.

Madyda, Crystal B. is an individual health care provider with primary practice located at 90 Grove St Suite # 106, Ridgefield CT 06877-4114. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Madyda, Crystal B. can be contacted via phone (203) 431-8471.

Contact Information

Primary practice address
90 Grove St Suite # 106 Ridgefield CT 06877-4114
Phone: (203) 431-8471
Fax: (203) 438-9543
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 006220 Connecticut

Profile Details

NPI number 1568411452
LBN Legal business name Madyda, Crystal B.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Feb 3rd, 2009 - about 17 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 1568411452 NPPES
Connecticut Other 080006220 ANTHEM BC
Connecticut MEDICAID 004210150 ANTHEM BC

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