| Organization Name: | JOSEPH ALESSANDRO |
| NPI Number: | 1740527365 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH ALESSANDRO (OWNER) |
| Mailing Address: | 111 Westcott Rd Danielson |
| State: | CT US |
| Postal Code: | 062392929 |
| Phone Number: | 8607749540 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2013 |
| NPI Last Update Date: | 03/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 000477 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |