Provider Demographics
NPI:1073277489
Name:DR JENNIFER F SROUR AUDIOLOGY PC
Entity Type:Organization
Organization Name:DR JENNIFER F SROUR AUDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:F
Authorized Official - Last Name:SROUR
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:718-833-5867
Mailing Address - Street 1:1310 AVENUE R APT 7L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2836
Mailing Address - Country:US
Mailing Address - Phone:718-833-5867
Mailing Address - Fax:
Practice Address - Street 1:1310 AVENUE R APT 7L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2836
Practice Address - Country:US
Practice Address - Phone:718-833-5867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty