Individual
EMMALEE MONICA CAISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 CRESCENT ST, NEW HAVEN, CT 06515-1330
(203) 392-7278
(251) 224-0570
Mailing address
18 GROVE ST, TERRYVILLE, CT 06786-4721
(860) 940-1319
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97017853004
CONNECTICARE
CT
Enumeration date
02/21/2018
Last updated
02/21/2018
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