Basic Information
| Provider Information | |||||||||
| NPI: | 1538313283 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW YORK HEARING CENTER, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 128 MOTT ST | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100135540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129663886 | ||||||||
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| Address1: | 128 MOTT ST | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100135540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129663886 | ||||||||
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| ProviderEnumerationDate: | 11/07/2008 | ||||||||
| LastUpdateDate: | 11/25/2008 | ||||||||
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| AuthorizedOfficialLastName: | FENG | ||||||||
| AuthorizedOfficialFirstName: | WINNIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUDIOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 3474326416 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231HA2500X | 001955 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist | Assistive Technology Supplier |
No ID Information.