Basic Information
Provider Information
NPI: 1962923185
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALMONTE
FirstName: LAYSA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 454 E 148TH ST APT 4M
Address2:  
City: BRONX
State: NY
PostalCode: 104552851
CountryCode: US
TelephoneNumber: 9173346857
FaxNumber:  
Practice Location
Address1: 2510 WESTCHESTER AVE STE 102
Address2:  
City: BRONX
State: NY
PostalCode: 104613585
CountryCode: US
TelephoneNumber: 7185975558
FaxNumber: 7185977277
Other Information
ProviderEnumerationDate: 06/28/2017
LastUpdateDate: 06/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235500000X  Y Speech, Language and Hearing Service ProvidersSpecialist/Technologist 

No ID Information.


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