Ivy Resquites Bialza
Speech-Language Pathologist, in Staten Island, NY. Individual provider (NPI-1).
NPI number1669986188
StatusActive
Last updated in NPPESNov 20, 2017
Details
- NPI
- 1669986188
- Entity type
- Individual (NPI-1)
- Name
- Ivy Resquites Bialza
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2017
- Last updated
- Nov 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
200 Nedra PlStaten Island, NY 10312-1736
Phone 718-948-1197
Mailing address
200 Nedra PlStaten Island, NY 10312-1736
Phone 718-948-1197
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