Healthcare Provider Details

I. General information

NPI: 1932367497
Provider Name (Legal Business Name): ZILAHY CHIROPRACTIC OFFICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 03/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 CANDEE HILL RD
WATERTOWN CT
06795-3101
US

IV. Provider business mailing address

35 CANDEE HILL RD
WATERTOWN CT
06795-3101
US

V. Phone/Fax

Practice location:
  • Phone: 860-274-9641
  • Fax: 860-274-1644
Mailing address:
  • Phone: 860-274-9641
  • Fax: 860-274-1644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number000172
License Number StateCT

VIII. Authorized Official

Name: DR. PETER MICHAEL ZILAHY
Title or Position: PRESIDENT
Credential: D.C
Phone: 860-274-9641