Doctor Name: | ADANURBY ORTIZ |
NPI Number: | 1962556829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 41YS00440000 |
Business Practice Address: | 309b 48th Street Union City, NJ - 07087 |
Business Phone Number: | 2015530022 |
Business Fax Number: | 2015530023 |
Mailing Address: | 916 Palisade Ave Apt 1, UNION CITY |
State: | NJ |
Postal Code: | 070879511 |
Phone Number: | 2015439436 |
Fax Number: | 2017661864 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00440000 |
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 |