MEDICARE: DR. TERESA M. ALASIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0500X	Cytopathology Physician	221179	NY
2	207ZP0101X	Anatomic Pathology Physician	221179-1	NY
3	207ZP0101X	Anatomic Pathology Physician	55959	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396705422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESA M. ALASIO M.D.

Provider Business Mailing Address
First Line	:	1379 SMITH RIDGE RD
Second Line	:
City	:	NEW CANAAN
State	:	CT
Zip	:	06840-2337
Country	:	US
Telephone Number	:	203-561-7980
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 S BEDFORD RD
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3412
Country	:	US
Telephone Number	:	914-241-1050
Fax Number	:	914-302-8334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	02/02/2022

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