Individual provider · Type 1 NPI

Alyssa Kanagaki Greenleaf, PA-C

Medical Physician Assistant · Southington, CT

NPI number 1861896524 Active

Practice location

462 Queen St Ste 303
Southington, CT 06489-1801

Mailing address

462 Queen St, Ste 303
Southington, CT 06489-1801

Other practice locations

  • 3300 Main St, 3rd Floor, Suite A, Springfield, MA 01199-1619 · (413) 794-7031

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4051 (CT)
Medical Physician Assistant 363AM0700X5169 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1861896524

Alyssa Kanagaki Greenleaf, PA-C's National Provider Identifier is 1861896524, issued on Oct 9, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southington, CT. The record was last updated on May 22, 2019.