Provider Demographics
NPI:1497904841
Name:THE LEAGUE FOR THE HARD OF HEARING
Entity Type:Organization
Organization Name:THE LEAGUE FOR THE HARD OF HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:FODERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-305-7910
Mailing Address - Street 1:50 BROADWAY FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-3810
Mailing Address - Country:US
Mailing Address - Phone:917-305-7905
Mailing Address - Fax:917-305-7819
Practice Address - Street 1:50 BROADWAY FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-3810
Practice Address - Country:US
Practice Address - Phone:917-305-7905
Practice Address - Fax:917-305-7819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000001410251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00323175Medicaid