Industria Pro Corp.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

INDUSTRIA PRO CORP.

Practice address

61 Dahlia LN
Deer Park, NY 11729-5424

Phone

(631) 601-7934

NPI assigned

Aug 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sofia Sanchez

Title

Ceo

Phone

(631) 601-7934

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1700513777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 GORDON AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DAHLIA LN",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295424",
            "telephone_number": "631-601-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIA PRO CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-601-7934"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.