Healthcare Provider Details

I. General information

NPI: 1851680870
Provider Name (Legal Business Name): HUNTER COLLEGE CENTER FOR COMMUNICATION DISORDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 03/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 E 25TH ST N133
NEW YORK NY
10010-2547
US

IV. Provider business mailing address

425 E 25TH ST N133
NEW YORK NY
10010-2547
US

V. Phone/Fax

Practice location:
  • Phone: 212-481-4464
  • Fax: 212-481-3029
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DONALD A VOGEL
Title or Position: DIRECTOR
Credential: AU.D./CCC-A
Phone: 212-481-4464