Individual
ELYSSA L ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-4038
(860) 679-6600
(860) 679-6604
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-4038
(860) 679-6600
(860) 679-6604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002262
CT
363AS0400X
Surgical Physician Assistant
23-012973
NY
Other
Enumeration date
11/06/2008
Last updated
03/20/2026
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