Provider Demographics
NPI:1376708214
Name:COLANGELO, SABRINA ANNA (MS, PA-C)
Entity Type:Individual
Prefix:MISS
First Name:SABRINA
Middle Name:ANNA
Last Name:COLANGELO
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Gender:F
Credentials:MS, PA-C
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Mailing Address - Street 1:282 WASHINGTON ST
Mailing Address - Street 2:5G
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-3322
Mailing Address - Country:US
Mailing Address - Phone:860-545-8954
Mailing Address - Fax:860-545-9969
Practice Address - Street 1:282 WASHINGTON ST
Practice Address - Street 2:5G
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3322
Practice Address - Country:US
Practice Address - Phone:860-545-8954
Practice Address - Fax:860-545-9969
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT001897363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTCSP0041370OtherCT CONTROLLED SUBSTANCE REGISTRATION NUMBER
CTMC1587926OtherDEA NUMBER