MEDICARE: HUNTER COLLEGE CENTER FOR COMMUNICATION DISORDERS

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	235Z00000X	Speech-Language Pathologist
2	231H00000X	Audiologist

General Provider Information

NPI Number	:	1851680870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUNTER COLLEGE CENTER FOR COMMUNICATION DISORDERS

Provider Business Mailing Address
First Line	:	425 E 25TH ST
Second Line	:	N133
City	:	NEW YORK
State	:	NY
Zip	:	10010-2547
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 E 25TH ST
Second Line	:	N133
City	:	NEW YORK
State	:	NY
Zip	:	10010-2547
Country	:	US
Telephone Number	:	212-481-4464
Fax Number	:	212-481-3029

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DONALD A VOGEL
Credential	:	AU.D./CCC-A
Telephone Number	:	212-481-4464

Provider Enumeration Date	:	03/30/2011
Last Update Date	:	03/30/2011

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