Provider Demographics
NPI:1447763172
Name:SAN CONSULTING CORP
Entity Type:Organization
Organization Name:SAN CONSULTING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUWIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-873-9521
Mailing Address - Street 1:1156 COUGHLIN ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-6288
Mailing Address - Country:US
Mailing Address - Phone:732-866-8883
Mailing Address - Fax:
Practice Address - Street 1:1156 COUGHLIN ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-6288
Practice Address - Country:US
Practice Address - Phone:732-866-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty