MEDICARE: KATEY COFRANCESCO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	00874	CT

General Provider Information

NPI Number	:	1275805939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATEY COFRANCESCO LLC

Provider Business Mailing Address
First Line	:	1079 WHALLEY AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06515-1783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1079 WHALLEY AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06515-1783
Country	:	US
Telephone Number	:	203-387-5015
Fax Number	:

Authorized Official
Title or Position	:	CHIROPACTOR/OWNER
Name	:	DR. KATEY COFRANCESCO
Credential	:	D.C.
Telephone Number	:	203-387-5015

Provider Enumeration Date	:	01/27/2012
Last Update Date	:	01/27/2012

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Directions to “KATEY COFRANCESCO LLC ” Practice Location

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