Healthcare Provider Details
I. General information
NPI: 1053510628
Provider Name (Legal Business Name): NEW YORK SPEECH AND HEARING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2007
Last Update Date: 02/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
271 MADISON AVE SUITE 1405
NEW YORK NY
10016-1001
US
IV. Provider business mailing address
271 MADISON AVE SUITE 1405
NEW YORK NY
10016-1001
US
V. Phone/Fax
- Phone: 212-260-1414
- Fax: 212-260-7676
- Phone: 212-260-1414
- Fax: 212-260-7676
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 001859-1 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 012413-1 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 14000015439 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
MELISSA
E.
HECHE
Title or Position: PRESIDENT
Credential: AUD
Phone: 232-532-5764