Individual
ALYSSA NICOLE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HUTCHINSON RIVER PKWY, BRONX, NY 10465-1820
(718) 828-9000
Mailing address
1000 HUTCHINSON RIVER PKWY, BRONX, NY 10465-1899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032340
NY
Other
Enumeration date
09/09/2022
Last updated
10/03/2022
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