Provider Demographics
NPI:1730269317
Name:ZILAHY, PETER (DC,LAC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:ZILAHY
Suffix:
Gender:M
Credentials:DC,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CANDEE HILL RD
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-3101
Mailing Address - Country:US
Mailing Address - Phone:860-274-9641
Mailing Address - Fax:860-274-1644
Practice Address - Street 1:35 CANDEE HILL RD
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-3101
Practice Address - Country:US
Practice Address - Phone:860-274-9641
Practice Address - Fax:860-274-1644
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000172111NX0800X
CT000282171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTT22759Medicare UPIN
CT350000119Medicare ID - Type Unspecified