1306658786 NPI number — MHH PSYCHOLOGY AND SPEECH-LANGUAGE PATHOLOGY THERAPY SERVICES PLLC

Table of content: (NPI 1306658786)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306658786 NPI number — MHH PSYCHOLOGY AND SPEECH-LANGUAGE PATHOLOGY THERAPY SERVICES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MHH PSYCHOLOGY AND SPEECH-LANGUAGE PATHOLOGY THERAPY SERVICES PLLC
Provider Last Name:
Provider First Name:
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Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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Provider Other Last Name:
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NPI Number Information

NPI Number:
1306658786
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7649 HEWLETT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW HYDE PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11040-1429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-273-6521
Provider Business Mailing Address Fax Number:
212-273-6427

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7649 HEWLETT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW HYDE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11040-1429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-273-6521
Provider Business Practice Location Address Fax Number:
212-273-6427
Provider Enumeration Date:
01/23/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JHA
Authorized Official First Name:
MRINAL
Authorized Official Middle Name:
KUMAR
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
347-423-6766

Provider Taxonomy Codes

  • Taxonomy code: 332S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)