Provider / Organization | NPI | Date Certified |
---|---|---|
PEDRO FUENTES | 1942609722 | 2023-01-21 |
Pedro Fuentes is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942609722. Registration indicates Pedro Fuentes is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
Entity Type | Individual |
Provider Name | Pedro Fuentes |
Practice Office Address | 2600 NETHERLAND AVE APT 1521 BRONX, NY US |
Practice Office Telephone | 3474635117 |
Mailing Address | 2600 NETHERLAND AVE APT 1521 BRONX, NY 104630975 US |
Business Telephone | 3474635117 |
Code | Practice | License No State |
---|---|---|
235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 020564-1
NY |