Healthcare Provider Details

I. General information

NPI: 1407921307
Provider Name (Legal Business Name): JENNY AMANDA HURWITZ M.S., CCC-A, F-AAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JACOBI MEDICAL CENTER 1400 PELHAM PARKWAY SOUTH, BLDG 1, RM 5N1- AUDIOLOGY
BRONX NY
10461-5760
US

IV. Provider business mailing address

229 EAST 21ST STREET APT. 2
NEW YORK NY
10010
US

V. Phone/Fax

Practice location:
  • Phone: 718-918-3473
  • Fax: 718-918-6809
Mailing address:
  • Phone: 212-995-8305
  • Fax: 212-460-5186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number002081
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: