Provider Demographics
NPI:1669359428
Name:BLICK MEDICAL ALLIES ,INC
Entity type:Organization
Organization Name:BLICK MEDICAL ALLIES ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COFOUNDER CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALPHONSE
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:PAOLILLO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DNP, APRN, FNP-BC
Authorized Official - Phone:203-410-2801
Mailing Address - Street 1:149 WATER ST STE 402
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-3781
Mailing Address - Country:US
Mailing Address - Phone:203-842-2894
Mailing Address - Fax:203-635-5349
Practice Address - Street 1:149 WATER ST STE 402
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-3781
Practice Address - Country:US
Practice Address - Phone:203-842-2894
Practice Address - Fax:203-635-5349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty