Provider Demographics
NPI:1902312648
Name:DONGWOO NOH
Entity Type:Organization
Organization Name:DONGWOO NOH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID DISPENSER
Authorized Official - Prefix:
Authorized Official - First Name:DONGWOO
Authorized Official - Middle Name:
Authorized Official - Last Name:NOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-816-4103
Mailing Address - Street 1:16108 46TH AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3651
Mailing Address - Country:US
Mailing Address - Phone:917-599-2817
Mailing Address - Fax:917-725-8836
Practice Address - Street 1:16108 46TH AVE FL 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3651
Practice Address - Country:US
Practice Address - Phone:917-599-2817
Practice Address - Fax:917-725-8836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000048561237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty