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EVELYN M. GLEESON MB BCH BAO NPI 1699952853


NPI Information

NPI: 1699952853
Provider Name: EVELYN M. GLEESON, MB BCH BAO
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
1000 ASYLUM AVE
4304
HARTFORD, CT
ZIP 06105
Phone: (860) 522-3711
Get Directions

Evelyn M. Gleeson, MB BCH BAO is a neurology psychiatry neurology in Hartford, CT. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Evelyn M. Gleeson, MB BCH BAO NPI is 1699952853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 ASYLUM AVE
4304
HARTFORD, CT
ZIP 06105-770
Phone: (860) 522-3711
Fax: (860) 493-1885

The enumeration date for this NPI number is 1/29/2008 and was last updated on 6/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22084N0400XPsychiatry & NeurologyNeurology047078CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D400003719MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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