Healthcare Provider Details

I. General information

NPI: 1720225832
Provider Name (Legal Business Name): CLARKE SCHOOL FOR THE DEAF, THE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 11/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 E END AVE
NEW YORK NY
10028-8004
US

IV. Provider business mailing address

80 E END AVE
NEW YORK NY
10028-8004
US

V. Phone/Fax

Practice location:
  • Phone: 212-585-3500
  • Fax:
Mailing address:
  • Phone: 212-585-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number221779
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number221779
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number15000015717
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number221779
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number15000015717
License Number StateNY
# 6
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number221779
License Number StateNY

VIII. Authorized Official

Name: BILL CORWIN
Title or Position: PRESIDENT
Credential:
Phone: 413-582-1153