MEDICARE: DR. PETER ZILAHY D.C,L.AC.

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	111NX0800X	Orthopedic Chiropractor	000172	CT
2	171100000X	Acupuncturist	000282	CT

General Provider Information

NPI Number	:	1730269317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER ZILAHY D.C,L.AC.

Provider Business Mailing Address
First Line	:	35 CANDEE HILL RD
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-3101
Country	:	US
Telephone Number	:	860-274-9641
Fax Number	:	860-274-1644

Provider Business Practice Location Address
First Line	:	35 CANDEE HILL RD
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-3101
Country	:	US
Telephone Number	:	860-274-9641
Fax Number	:	860-274-1644

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	03/10/2009

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