Provider Demographics
NPI:1821827312
Name:PAPORTO, SALVATORE (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:SALVATORE
Middle Name:
Last Name:PAPORTO
Suffix:
Gender:M
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WEBSTER AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1365
Mailing Address - Country:US
Mailing Address - Phone:845-483-5659
Mailing Address - Fax:
Practice Address - Street 1:1 WEBSTER AVE STE 102
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1365
Practice Address - Country:US
Practice Address - Phone:845-431-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003256231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist