Doctor Name: | RUVEN PORGES |
NPI Number: | 1881905248 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | 020476 |
Business Practice Address: | 20 Rita Ave 312 Monsey, NY - 109522692 |
Business Phone Number: | 8453711706 |
Business Fax Number: | |
Mailing Address: | 20 Rita Ave, 312 MONSEY |
State: | NY |
Postal Code: | 109522692 |
Phone Number: | 8453711706 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2010 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |