Michele Antonucci

Individual provider Active NPI Medical Art Specialist/Technologist · Orange, CT

NPI 1083558951 · NPPES record last updated Apr 20, 2026

Key facts

NPI
1083558951
Entity type
Individual (NPI type 1)
Primary specialty
Medical Art Specialist/Technologist 246ZA2600X
License
980 (CT)
Practice address
370 Boston Post Rd Ste 1
Orange, CT 06477-3534
Phone
(203) 996-0950
NPI assigned
Apr 20, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Rose Beauty LLC Single Specialty Current Accepting new patients

Locations

370 Boston Post Rd
Ste 1
Orange, CT 06477
Phone (203) 996-0950

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/Technologist
Group: 193400000X SINGLE SPECIALTY GROUP
246ZA2600X 980 CT Yes

Addresses

Primary practice location

370 Boston Post Rd Ste 1
Orange, CT 06477-3534

Mailing address

362 Fairlea Rd
Orange, CT 06477-3411
Phone (203) 996-0950

Other providers in Orange, CT

All providers in Orange, CT · Medical Art Specialist/Technologist in Connecticut

Sources for this page

Verify at the official NPI Registry.