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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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