Provider Demographics
NPI:1790555738
Name:ALMODOVAR, SARAHI (SLP)
Entity Type:Individual
Prefix:
First Name:SARAHI
Middle Name:
Last Name:ALMODOVAR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 MORRIS AVE APT 3A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-3110
Mailing Address - Country:US
Mailing Address - Phone:646-491-3634
Mailing Address - Fax:
Practice Address - Street 1:383 E 139TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-2751
Practice Address - Country:US
Practice Address - Phone:646-491-3634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033953235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist