Provider Demographics
NPI:1376188284
Name:ORTEGA, ROMY (MS)
Entity Type:Individual
Prefix:
First Name:ROMY
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 HOLLAND AVE APT G
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3376
Mailing Address - Country:US
Mailing Address - Phone:718-715-3923
Mailing Address - Fax:
Practice Address - Street 1:1640 BRONXDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3302
Practice Address - Country:US
Practice Address - Phone:718-904-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist