Provider Demographics
NPI:1356708119
Name:PLUDOWSKI, MARTA (MS, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:MS
First Name:MARTA
Middle Name:
Last Name:PLUDOWSKI
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:
Other - Last Name:MORAWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:261 E 163RD ST
Mailing Address - Street 2:ROOM 405A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3214
Mailing Address - Country:US
Mailing Address - Phone:718-681-7264
Mailing Address - Fax:
Practice Address - Street 1:261 E 163RD ST
Practice Address - Street 2:ROOM 405A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3214
Practice Address - Country:US
Practice Address - Phone:718-681-7264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025301235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist