Provider Demographics
NPI:1982048484
Name:ALBA, DENISE (MS SPED)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:ALBA
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 HAVEMEYER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-6310
Mailing Address - Country:US
Mailing Address - Phone:917-324-6953
Mailing Address - Fax:
Practice Address - Street 1:1015 HAVEMEYER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-6310
Practice Address - Country:US
Practice Address - Phone:917-324-6953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist