EDWARD D. MYSAK SPEECH AND HEARING CENTER NPI 1053646554

NPI Information

EDWARD D. MYSAK SPEECH AND HEARING CENTER is a hearing and speech clinic center in New York, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. EDWARD D. MYSAK SPEECH AND HEARING CENTER NPI is 1053646554. The provider is registered as an organization entity type.

The provider's business location address is:

525 W 120TH ST
BOX 191
NEW YORK, NY
ZIP 10027-605
Phone: (212) 678-3409
Fax: (212) 678-3718

The provider's authorized official is Jo Ann Nicholas .
The authorized official title is Clinic Director and has the following contact phone number (212) 678-3410.

The enumeration date for this NPI number is 10/16/2009 and was last updated on 10/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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