Healthcare Provider Details

I. General information

NPI: 1073930186
Provider Name (Legal Business Name): EMILIA LAURA SANGIOVANNI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILIA LAURA APONTE

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SEYMOUR ST STE HARTFORD
HARTFORD CT
06106-5501
US

IV. Provider business mailing address

85 SEYMOUR ST STE HARTFORD
HARTFORD CT
06106-5501
US

V. Phone/Fax

Practice location:
  • Phone: 860-962-7022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number80606
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB10017100
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number335541
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: