1407921307 NPI number — MS. JENNY AMANDA HURWITZ M.S., CCC-A, F-AAA

Table of content: MS. JENNY AMANDA HURWITZ M.S., CCC-A, F-AAA (NPI 1407921307)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407921307 NPI number — MS. JENNY AMANDA HURWITZ M.S., CCC-A, F-AAA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HURWITZ
Provider First Name:
JENNY
Provider Middle Name:
AMANDA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S., CCC-A, F-AAA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407921307
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
229 EAST 21ST STREET
Provider Second Line Business Mailing Address:
APT. 2
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-995-8305
Provider Business Mailing Address Fax Number:
212-460-5186

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
JACOBI MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1400 PELHAM PARKWAY SOUTH, BLDG 1, RM 5N1- AUDIOLOGY
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10461-5760
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-918-3473
Provider Business Practice Location Address Fax Number:
718-918-6809
Provider Enumeration Date:
11/24/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  002081 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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