Ileana Collazo
Individual provider Active NPI Case Manager/Care Coordinator · Hartford, CT
NPI 1134529316 · NPPES record last updated Aug 25, 2014
Key facts
- NPI
- 1134529316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1680 Albany Ave
Hartford, CT 06105-1001 - Phone
- (860) 236-4511
- NPI assigned
- Aug 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1680 Albany Ave
Hartford, CT 06105-1001
Mailing address
1680 Albany Ave
Hartford, CT 06105-1001
Phone (860) 236-4511
Other providers in Hartford, CT
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- Collaborative Counseling Center, LLC
- Collaborative Laboratory Services LLC
- Collaborative Laboratory Services-Mount Sinai Campus
- Gisel Collazo
- Eric James Collentro
- Bonnie A Colleton
- Lauren Elisabeth Collin
- Collins Medical Associates 2 PC
- Collins Medical Associates 2 PC
All providers in Hartford, CT · Case Manager/Care Coordinator in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.