MEDICARE: MILDRED SOTO MA CCC SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	010786-1	NY

General Provider Information

NPI Number	:	1518103415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILDRED SOTO MA CCC SLP

Provider Business Mailing Address
First Line	:	2215 CRUGER AVENUE
Second Line	:	APT. 5G
City	:	BRONX
State	:	NY
Zip	:	10467
Country	:	US
Telephone Number	:	917-406-2997
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 CRUGER AVE
Second Line	:	APT. 5G
City	:	BRONX
State	:	NY
Zip	:	10467-9407
Country	:	US
Telephone Number	:	917-406-2997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2008
Last Update Date	:	12/23/2008

Similar Medicare Providers

1558107243 — MS. BESAIRA ELVIRA MARTINEZ
Practice Location Address:

735 PELHAM PKWY N APT 5T
BRONX, NY
10467-9525

Practice Phone: 929-469-9407
Practice Fax: 347-208-4845

1487897724 — MRS. MALIKA GRAVES R.N.
Practice Location Address:

16 WESTCHESTER SQ
BRONX, NY
10461-3513

Practice Phone: 718-518-9007
Practice Fax:

1932673316 — MAXINE CARRASCO-CABA
Practice Location Address:

1 KENNEDY AVE UNIT 1113
DANBURY, CT
06810-5772

Practice Phone: 917-259-9407
Practice Fax:

1861498115 — THOMAS R BEIDLE MD
Practice Location Address:

1155 MILL STREET
RENO, NV
89520-1576

Practice Phone: 775-982-8100
Practice Fax: 775-982-4161

1649265059 — DR. MEHDI POORKAY M.D.
Practice Location Address:

210 E GRAY ST STE 605
LOUISVILLE, KY
40202-3900

Practice Phone: 502-559-3636
Practice Fax: 502-629-5442

1245211481 — DR. VARKEY MATHEW MD
Practice Location Address:

3995 OLD TOWN RD , SUITE 101
HUNTINGTOWN, MD
20639-3039

Practice Phone: 410-535-3612
Practice Fax: 410-535-3613

Directions to “ MILDRED SOTO MA CCC SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.