Provider Demographics
NPI:1326176926
Name:ALIGATA, DONNA C (LO)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:C
Last Name:ALIGATA
Suffix:
Gender:F
Credentials:LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-1510
Mailing Address - Country:US
Mailing Address - Phone:860-388-1251
Mailing Address - Fax:860-388-1251
Practice Address - Street 1:48 MAIN ST
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-1510
Practice Address - Country:US
Practice Address - Phone:860-388-1251
Practice Address - Fax:860-388-1251
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1345156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT5934040001Medicare NSC