Provider Demographics
NPI:1033301668
Name:RABIN AUDIOLOGICAL SERVICES, INC
Entity Type:Organization
Organization Name:RABIN AUDIOLOGICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:RABIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:717-695-3755
Mailing Address - Street 1:210 BROOKRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9335
Mailing Address - Country:US
Mailing Address - Phone:717-695-3755
Mailing Address - Fax:
Practice Address - Street 1:210 BROOKRIDGE CT
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-9335
Practice Address - Country:US
Practice Address - Phone:717-695-3755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00535332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA094611Medicare UPIN