MEDICARE: GRACE BETTY HINTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235500000X	Speech/Language/Hearing Specialist/Technologist		NY

General Provider Information

NPI Number	:	1043516909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE BETTY HINTZ

Provider Business Mailing Address
First Line	:	7 ROSE LANE
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040
Country	:	US
Telephone Number	:	516-488-7761
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 ROSE LN
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-1965
Country	:	US
Telephone Number	:	516-488-7761
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2011
Last Update Date	:	07/21/2022

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Directions to “ GRACE BETTY HINTZ ” Practice Location

Language	Start Address	Practice Location

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