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Betances Slp PC

Early Intervention Provider Agency in Bergenfield, NJ. Organization (NPI-2).

NPI number1982184560
StatusActive
Last updated in NPPESAug 14, 2018

Details

NPI
1982184560
Entity type
Organization (NPI-2)
Legal business name
Betances Slp PC
Organization subpart
No
Enumeration date
Aug 14, 2018
Last updated
Aug 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency––Yes
235Z00000X Speech-Language Pathologist,015446-1NY

Practice location

231 S Prospect Ave
Bergenfield, NJ 07621

Phone 646-261-3976

Mailing address

231 S Prospect Ave
Bergenfield, NJ 07621-2644

Phone 646-261-3976

Authorized official

Yasmin Betances
Speech Language Pathologist
6462613976

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