NPI 1720789779 · live from the CMS NPI Registry
Alyssa Leilani Becker, MD
Student in an Organized Health Care Education/Training Program in Farmington, CT. National Provider Identifier 1720789779, active.
NPI record
| NPI | 1720789779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 21 South Rd Fl 2, Farmington, CT 06032 |
| Practice phone | 860-679-4600 |
| Mailing address | 263 Farmington Ave, Farmington, CT 06030 |
| Enumerated | March 16, 2023 |
| Last updated | August 29, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | RESIDENT (CT) |
| Internal Medicine | 207R00000X | MDR-8774 (HI) |
| Student in an Organized Health Care Education/Training Program primary | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.