Basic Information
Provider Information
NPI: 1982857256
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DE LA FLOR
FirstName: ROSARIO
MiddleName: A.
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 700 BELLEVUE AVE N
Address2:  
City: YONKERS
State: NY
PostalCode: 107031102
CountryCode: US
TelephoneNumber: 9144269219
FaxNumber:  
Practice Location
Address1: 4 LORRAINE AVE
Address2:  
City: MOUNT VERNON
State: NY
PostalCode: 105531222
CountryCode: US
TelephoneNumber: 9146637070
FaxNumber: 9146637075
Other Information
ProviderEnumerationDate: 10/30/2008
LastUpdateDate: 04/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000XSLP-016962NYY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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