Provider Demographics
NPI:1407921307
Name:HURWITZ, JENNY AMANDA (MS, CCC-A, F-AAA)
Entity Type:Individual
Prefix:MS
First Name:JENNY
Middle Name:AMANDA
Last Name:HURWITZ
Suffix:
Gender:F
Credentials:MS, CCC-A, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 EAST 21ST STREET
Mailing Address - Street 2:APT. 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:212-995-8305
Mailing Address - Fax:212-460-5186
Practice Address - Street 1:JACOBI MEDICAL CENTER
Practice Address - Street 2:1400 PELHAM PARKWAY SOUTH, BLDG 1, RM 5N1- AUDIOLOGY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5760
Practice Address - Country:US
Practice Address - Phone:718-918-3473
Practice Address - Fax:718-918-6809
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002081231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist