Healthcare Provider Details

I. General information

NPI: 1992125330
Provider Name (Legal Business Name): MALETTA PFEIFFER & ASSOCIATES, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 07/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 ALVORD PARK RD
TORRINGTON CT
06790-3493
US

IV. Provider business mailing address

245 ALVORD PARK RD
TORRINGTON CT
06790-3493
US

V. Phone/Fax

Practice location:
  • Phone: 860-496-9851
  • Fax: 860-496-0222
Mailing address:
  • Phone: 860-496-9851
  • Fax: 860-482-4047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLLYNN CATHERINE ALBANESE
Title or Position: PRACTICE MANAGER
Credential:
Phone: 860-489-0867