Alisha Giannantonio

Individual provider Active NPI Case Manager/Care Coordinator · Newington, CT

NPI 1306269162 · NPPES record last updated Jan 30, 2014

Key facts

NPI
1306269162
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
088090161 (CT)
Practice address
42 Avery Rd
Newington, CT 06111-1041
Phone
(860) 995-3953
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
088090161CTMDCase Manager/Care Coordinator

Interoperability endpoints

  • Direct secure messaging: alisha.giannantonio.p1@direct.wheelerclinic.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 088090161 CT Yes

Addresses

Primary practice location

42 Avery Rd
Newington, CT 06111-1041

Mailing address

42 Avery Rd
Newington, CT 06111-1041
Phone (860) 995-3953

Other providers in Newington, CT

All providers in Newington, CT · Case Manager/Care Coordinator in Connecticut

Sources for this page

Verify at the official NPI Registry.