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ANGELICA PENAGOS BOLIVAR
NPI 1699219063
Speech-Language Pathologist in Flushing, NY

Active since December 05, 2016
3420 94TH ST, FLUSHING, NY 11372(718) 424-9031 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelica Penagos Bolivar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA PENAGOS BOLIVAR (NPI 1699219063) is an individual speech-language pathologist provider in Flushing, New York, licensed in New York (3783561) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1699219063
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANGELICA PENAGOS BOLIVAR
Location Address3420 94TH STFlushing, NY 11372-3824
Mailing Address102 Peconic CtMelville, NY 11747-5305 · (631) 742-6351
Phone(718) 424-9031
Sole ProprietorYes
Enumeration DateDecember 5, 2016
✔ NPI 1699219063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 3783561
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3420 94TH ST, Flushing, NY 11372
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELAINE E BALSECA
Speech-Language Pathologist
3420 94TH ST
JACKSON HEIGHTS, NY 11372
Queens County (718) 424-9031
CHRISTINE FERNANDEZ CCC-SLP
Speech-Language Pathologist
3420 94TH ST
JACKSON HEIGHTS, NY 11372
Queens County (718) 424-9031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Penagos Bolivar's NPI number?

The NPI number for Angelica Penagos Bolivar is 1699219063. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is Angelica Penagos Bolivar located?

Angelica Penagos Bolivar practices at 3420 94th St, Flushing, NY 11372. The listed phone number is (718) 424-9031.

What is Angelica Penagos Bolivar's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Angelica Penagos Bolivar was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.