Provider Demographics
NPI:1639625023
Name:GOOD NEWS HEARING AND COMMUNICATION CENTER
Entity Type:Organization
Organization Name:GOOD NEWS HEARING AND COMMUNICATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONGWOO
Authorized Official - Middle Name:
Authorized Official - Last Name:NOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-912-4055
Mailing Address - Street 1:375 SYLVAN AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2725
Mailing Address - Country:US
Mailing Address - Phone:201-912-4055
Mailing Address - Fax:201-608-6924
Practice Address - Street 1:375 SYLVAN AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2725
Practice Address - Country:US
Practice Address - Phone:201-912-4055
Practice Address - Fax:201-608-6924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00092800231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty