Provider Demographics
NPI:1982827333
Name:MALETTA PFEIFFER & ASSOCIATES, L.L.C.
Entity Type:Organization
Organization Name:MALETTA PFEIFFER & ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBANESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-489-0867
Mailing Address - Street 1:30 PECK RD
Mailing Address - Street 2:BUILDING #1; SUITE 1101
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6123
Mailing Address - Country:US
Mailing Address - Phone:860-489-0867
Mailing Address - Fax:860-489-4473
Practice Address - Street 1:30 PECK RD
Practice Address - Street 2:BUILDING #1; SUITE 1101
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6123
Practice Address - Country:US
Practice Address - Phone:860-489-0867
Practice Address - Fax:860-489-4473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00000000Medicaid
CT650000131Medicare UPIN