Basic Information
| Provider Information | |||||||||
| NPI: | 1487969812 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW YORK HEARING CENTER INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 128 MOTT ST STE 509 | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100135575 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129663886 | ||||||||
| FaxNumber: | 2129662886 | ||||||||
| Practice Location | |||||||||
| Address1: | 128 MOTT ST STE 509 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100135575 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129663886 | ||||||||
| FaxNumber: | 2129662886 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2010 | ||||||||
| LastUpdateDate: | 01/15/2014 | ||||||||
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| AuthorizedOfficialLastName: | FENG | ||||||||
| AuthorizedOfficialFirstName: | KATHY | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUDIOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 2129663886 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | AUD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | 002150 | NY | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.