Provider Demographics
NPI:1922536788
Name:ALTORELLI HEALTH, LLC
Entity Type:Organization
Organization Name:ALTORELLI HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:516-567-6306
Mailing Address - Street 1:125 NEW MILFORD TPKE
Mailing Address - Street 2:
Mailing Address - City:NEW PRESTON MARBLE DALE
Mailing Address - State:CT
Mailing Address - Zip Code:06777-1703
Mailing Address - Country:US
Mailing Address - Phone:860-868-7318
Mailing Address - Fax:
Practice Address - Street 1:125 NEW MILFORD TPKE
Practice Address - Street 2:
Practice Address - City:NEW PRESTON MARBLE DALE
Practice Address - State:CT
Practice Address - Zip Code:06777-1703
Practice Address - Country:US
Practice Address - Phone:860-868-7318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty