Active NPIIndividual provider

Matilda Portanova, MS

Speech-Language Pathologist, in Mount Vernon, New York

NPI Number1568635217
Practice location
256 Summit Ave, Mount Vernon, NY 10552-3310
Fax
—
Last updated
May 21, 2009

Matilda Portanova is a Speech-Language Pathologist, based in Mount Vernon, NY. Matilda Portanova practices in Mount Vernon, NY and has the professional credentials of MS. The NPI Number for Matilda Portanova is 1568635217 and holds a License No. 017193-1 (NY). The current practice location address for Matilda Portanova is 256 Summit Ave, Mount Vernon, NY 10552-3310 and can be reached out via phone at 914-665-3736.

Provider Profile Details

NPI Number
1568635217
Provider Name
Matilda Portanova
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
256 Summit Ave, Mount Vernon, NY 10552-3310
Phone Number
914-665-3736
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 2, 2008
Last Update Date
May 21, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
256 Summit Ave
Mount Vernon, NY 10552-3310
Zip
10552-3310
Phone Number
914-665-3736
Mount Vernon, NY 10552Get directions →

Provider Business Mailing Address Details

Address
256 Summit Ave
Mount Vernon, NY 10552-3310
City
Mount Vernon
State
NY
Zip
10552-3310
Phone Number
914-665-3736

License Information

License Number
017193-1
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matilda Portanova, MS?

The NPI number of Matilda Portanova, MS is 1568635217. It was assigned on April 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Matilda Portanova, MS?

Matilda Portanova, MS is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 017193-1.

Where does Matilda Portanova, MS practice?

The practice location is 256 Summit Ave, Mount Vernon, NY 10552-3310. The office can be reached at 914-665-3736 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568635217 directly on the NPPES registry website.

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