# WATERSTONE HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700600053
- **Authorized official:** THOMAS J ABBENANTE MD (OWNER)
- **Authorized official phone:** (203) 245-0412

## Contact information

- **Practice address:** 32 WALL ST STE C, MADISON, CT 06443-3100
- **Practice address phone:** (203) 826-1163
- **Practice address fax:** (203) 917-3537
- **Mailing address:** PO BOX 10, GUILFORD, CT 06437-0010
- **Mailing address phone:** (203) 826-1163
- **Mailing address fax:** (203) 917-3537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 11/13/2024