Healthcare Provider Details

I. General information

NPI: 1962092510
Provider Name (Legal Business Name): HEALTH CARE ADVOCATES INTERNATIONAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2021
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 MAIN ST STE 1
STRATFORD CT
06615-5855
US

IV. Provider business mailing address

2595 MAIN ST STE 1
STRATFORD CT
06615-5855
US

V. Phone/Fax

Practice location:
  • Phone: 203-345-0404
  • Fax: 203-908-4110
Mailing address:
  • Phone: 203-345-0404
  • Fax: 800-482-6954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ELYSIA MARIE CERRETA-DIAL
Title or Position: AO
Credential: APRN
Phone: 203-345-0404