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1568635217
MATILDA PORTANOVA
MOUNT VERNON, NY
NPI
1568635217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 017193-1)
Enumeration Date
2008-04-02
Last Update Date
2009-05-21
Business Address
-- MATILDA PORTANOVA M.S.
256 SUMMIT AVE
MOUNT VERNON, NY 10552-3310
Phone number: 914-665-3736
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Mailing Address
-- MATILDA PORTANOVA M.S.
256 SUMMIT AVE
MOUNT VERNON, NY 10552-3310
Phone number: 914-665-3736
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