1407082696 NPI number — MRS. HELINDA PEREZ MA, CCC-SLP

Table of content: DR. EMMETT DAVID RATIGAN MD (NPI 1003079583)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407082696 NPI number — MRS. HELINDA PEREZ MA, CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PEREZ
Provider First Name:
HELINDA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VILLALONA
Provider Other First Name:
HELINDA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, CCC-SLP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1407082696
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/02/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1608 MACE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10469-6221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-547-9595
Provider Business Mailing Address Fax Number:
718-547-2323

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1608 MACE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10469-6221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-547-9595
Provider Business Practice Location Address Fax Number:
718-547-2323
Provider Enumeration Date:
06/02/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  011279 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)