Active NPIIndividual providerSole proprietor

Mr. Igor Malitsky, CPED

Healthcare Provider in Cromwell, Connecticut

NPI Number1497801666
Practice location
51 Shunpike RD Ste 41, Cromwell, CT 06416-2497
Fax
860-635-2080
Last updated
October 25, 2007

Igor Malitsky is a Healthcare Provider based in Cromwell, CT. Igor Malitsky practices in Cromwell, CT and has the professional credentials of CPED. The NPI Number for Igor Malitsky is 1497801666 and holds a License No. 20361 (CT). The current practice location address for Igor Malitsky is 51 Shunpike RD Ste 41, Cromwell, CT 06416-2497 and can be reached out via phone at 860-635-7653 and via fax at 860-635-2080.

Provider Profile Details

NPI Number
1497801666
Provider Name
Igor Malitsky
Credential
CPED
Provider Entity Type
Individual
Gender
Male
Address
51 Shunpike RD Ste 41, Cromwell, CT 06416-2497
Phone Number
860-635-7653
Fax Number
860-635-2080
Primary Taxonomy
Healthcare Provider · 222Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 28, 2007
Last Update Date
October 25, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Shunpike RD Ste 41
Cromwell, CT 06416-2497
Zip
06416-2497
Phone Number
860-635-7653
Fax Number
860-635-2080
Cromwell, CT 06416Get directions →

Provider Business Mailing Address Details

Address
51 Shunpike RD Ste 41
Cromwell, CT 06416-2497
City
Cromwell
State
CT
Zip
06416-2497
Phone Number
860-635-7653
Fax Number
860-635-2080

License Information

License Number
20361
License State
CT
Taxonomy
· 222Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Igor Malitsky, CPED?

The NPI number of Mr. Igor Malitsky, CPED is 1497801666. It was assigned on January 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Igor Malitsky, CPED?

Mr. Igor Malitsky, CPED is registered under the primary taxonomy Healthcare Provider (code 222Z00000X), licensed in CT under license number 20361.

Where does Mr. Igor Malitsky, CPED practice?

The practice location is 51 Shunpike RD Ste 41, Cromwell, CT 06416-2497. The office can be reached at 860-635-7653 (phone) or 860-635-2080 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497801666 directly on the NPPES registry website.

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