Provider Demographics
NPI:1932760691
Name:MANDRAPILIAS, ALAINA ERINI (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAINA
Middle Name:ERINI
Last Name:MANDRAPILIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:237 DUFFIELD ST APT 14A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5183
Mailing Address - Country:US
Mailing Address - Phone:929-308-9507
Mailing Address - Fax:
Practice Address - Street 1:15 RIVERSIDE AVENUE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-6312
Practice Address - Country:US
Practice Address - Phone:860-516-7593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT70834207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine