Individual
ALINA PORTUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, TSSLD
Contact information
Practice address
1237 AVENUE Z, 5P, BROOKLYN, NY 11235-4360
(718) 615-2064
Mailing address
1237 AVENUE Z, 5P, BROOKLYN, NY 11235-4360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022124
NY
Other
Enumeration date
08/10/2012
Last updated
03/05/2013
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