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Jose Pascual

Speech-Language Pathologist, in Elmhurst, NY. Individual provider (NPI-1).

NPI number1942919782
StatusActive
Last updated in NPPESNov 21, 2022

Details

NPI
1942919782
Entity type
Individual (NPI-1)
Name
Jose Pascual
Sex
Male
Sole proprietor
No
Enumeration date
Nov 21, 2022
Certification date
Nov 21, 2022
Last updated
Nov 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

5712 94th St
Elmhurst, NY 11373-5020

Phone 718-760-1083

Mailing address

6546 160th St Apt 6g
Fresh Meadows, NY 11365-2527

Phone 718-607-6571

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