Individual
MS. BIANCA NICKY PARDOVANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 BRADHURST AVE, VALHALLA, NY 10595-1697
(914) 591-7555
Mailing address
189 SAINT MARKS AVE, BROOKLYN, NY 11238-3456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029479
NY
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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