Healthcare Provider Details

I. General information

NPI: 1205851052
Provider Name (Legal Business Name): ACCESS HEALTHCARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 ALBANY AVENUE
HARTFORD CT
06112-2132
US

IV. Provider business mailing address

1229 ALBANY AVENUE
HARTFORD CT
06112-2132
US

V. Phone/Fax

Practice location:
  • Phone: 860-524-9820
  • Fax: 860-524-9821
Mailing address:
  • Phone: 860-524-9820
  • Fax: 860-524-9821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID SIMON HENRY
Title or Position: PRESIDENT
Credential: MD
Phone: 860-524-9820