Organization
EDWARD D. MYSAK SPEECH AND HEARING CENTER
Active
Parent organization
TEACHERS COLLEGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEACHERS COLLEGE
Authorized official
DR. JO ANN NICHOLAS ED.D. (CLINIC DIRECTOR)
(212) 678-3410
Entity
Organization
Contact information
Practice address
525 W 120TH ST, BOX 191, NEW YORK, NY 10027-6605
(212) 678-3409
(212) 678-3718
Mailing address
525 W 120TH ST, BOX 191, NEW YORK, NY 10027-6605
(212) 678-3409
(212) 678-3718
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
000535-1
NY
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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