Healthcare Provider Details

I. General information

NPI: 1326567124
Provider Name (Legal Business Name): ALLISON PINTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 PROSPECT ST
NEW HAVEN CT
06511-1224
US

IV. Provider business mailing address

5 PARTRIDGE RUN
WALLINGFORD CT
06492-1766
US

V. Phone/Fax

Practice location:
  • Phone: 203-773-4472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number001342
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: