IndividualActive
Alysia Bator, PA-C
NPI 1700574050 · Surgical Physician Assistant · Norwich, CT
Provider details
- NPI number
- 1700574050
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6108 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
326 Washington St
Norwich, CT 06360-2740
Phone: (860) 889-8331
Approximate (ZIP-level) locationGet directions
Mailing address
211 Long Hill Rd
Andover, CT 06232-1126
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.