NPI 1679194757 · live from the CMS NPI Registry
Raffaele Vincenzo Albano, PA
Physician Assistant in East Longmeadow, MA. National Provider Identifier 1679194757, active.
NPI record
| NPI | 1679194757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1 Denslow Rd, East Longmeadow, MA 01028 |
| Practice phone | 413-567-1000 |
| Mailing address | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102 |
| Enumerated | April 30, 2020 |
| Last updated | December 18, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 005037 (CT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.