Provider Demographics
NPI:1427557297
Name:TRAN HUE ONG SPEECH PATHOLOGIST PC
Entity Type:Organization
Organization Name:TRAN HUE ONG SPEECH PATHOLOGIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONG-REYES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:718-490-3187
Mailing Address - Street 1:7 CLIFF WAY
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-4303
Mailing Address - Country:US
Mailing Address - Phone:718-490-3187
Mailing Address - Fax:
Practice Address - Street 1:7 CLIFF WAY
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-4303
Practice Address - Country:US
Practice Address - Phone:718-490-3187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014675235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty