Provider Demographics
NPI:1407307069
Name:HOHEB, JORGE (MS)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:HOHEB
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 JACOBUS ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4803
Mailing Address - Country:US
Mailing Address - Phone:718-429-7006
Mailing Address - Fax:
Practice Address - Street 1:5840 FORTUNA DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87402-8210
Practice Address - Country:US
Practice Address - Phone:505-599-8625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6105235Z00000X
NY026538235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist