Provider Demographics
NPI:1255742326
Name:ALESSI-LAROSA, STEPHANIE FELICIA (MD, MPH)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:FELICIA
Last Name:ALESSI-LAROSA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:FELICIA
Other - Last Name:ALESSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:85 SEYMOUR ST STE 1009
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5529
Mailing Address - Country:US
Mailing Address - Phone:860-524-4330
Mailing Address - Fax:
Practice Address - Street 1:31 SEYMOUR ST STE 204D
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5521
Practice Address - Country:US
Practice Address - Phone:860-524-4330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011141382084N0400X
CT565432084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology