Gillego, Alyssa

Gillego, Alyssa is an individual health care provider with primary practice located at 77 Lafayette Pl Ste 302 , Greenwich CT 06830-5426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Gillego, Alyssa can be contacted via phone (203) 863-4250.

Contact Information

Primary practice address
77 Lafayette Pl Ste 302 Greenwich CT 06830-5426
Phone: (203) 863-4250
Fax: (203) 863-4249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 252073 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 056739 Connecticut

Profile Details

NPI number 1659567352
LBN Legal business name Gillego, Alyssa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Nov 13th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659567352 NPPES
New York MEDICAID 390200000X
New York Other 25207301
New York Other GA2073
New York Other 090923000071
New York Other P4055272

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