Healthcare Provider Details

I. General information

NPI: 1477896900
Provider Name (Legal Business Name): CATHERINE ALESSI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 11/07/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 FARMINGTON AVE
FARMINGTON CT
06032-1901
US

IV. Provider business mailing address

10 COLUMBUS BLVD FL 4
HARTFORD CT
06106-1976
US

V. Phone/Fax

Practice location:
  • Phone: 860-837-7500
  • Fax: 860-837-7550
Mailing address:
  • Phone: 860-837-5602
  • Fax: 860-837-5613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number055668
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: