| Doctor Name: | PETER PANTALENA |
| NPI Number: | 1902096951 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.,CCC-SLP |
| License Number: | YS00003810 |
| Business Practice Address: | 220 White Plains Rd Suite 220 Tarrytown, NY - 105915837 |
| Business Phone Number: | 9146319020 |
| Business Fax Number: | 9146319028 |
| Mailing Address: | 1019 Ripley Ave, WESTFIELD |
| State: | NJ |
| Postal Code: | 070901643 |
| Phone Number: | 9082321032 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2007 |
| NPI Last Update Date: | 07/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | YS00003810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |