Provider Demographics
NPI:1023350014
Name:CWC HARTFORD LLC
Entity type:Organization
Organization Name:CWC HARTFORD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:JUDITH
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-751-8300
Mailing Address - Street 1:133 E 58TH ST
Mailing Address - Street 2:15TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1236
Mailing Address - Country:US
Mailing Address - Phone:212-751-8300
Mailing Address - Fax:212-813-9455
Practice Address - Street 1:1 TOWER SQ
Practice Address - Street 2:4GS
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06183-0001
Practice Address - Country:US
Practice Address - Phone:860-246-7668
Practice Address - Fax:860-246-7688
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CWC HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty