Provider Demographics
NPI:1992113427
Name:ALBERTORIO, MICHELLE LORRAINE
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LORRAINE
Last Name:ALBERTORIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 PERRY AVE APT 5A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3228
Mailing Address - Country:US
Mailing Address - Phone:787-546-2200
Mailing Address - Fax:
Practice Address - Street 1:2965 E 196TH ST APT 3S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3833
Practice Address - Country:US
Practice Address - Phone:787-546-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2017-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist