Healthcare Provider Details

I. General information

NPI: 1629021860
Provider Name (Legal Business Name): SOUND MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 04/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LORENZ INDUSTRIAL PARKWAY
LEDYARD CT
06339-1946
US

IV. Provider business mailing address

2 LORENZ INDUSTRIAL PARKWAY
LEDYARD CT
06339-1946
US

V. Phone/Fax

Practice location:
  • Phone: 860-464-3045
  • Fax: 860-464-3044
Mailing address:
  • Phone: 860-464-3045
  • Fax: 860-464-3044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL RISSI
Title or Position: CEO
Credential: MD
Phone: 860-442-0711