Provider Demographics
NPI:1093087744
Name:KRISTA SZALC, AUDIOLOGY, PLLC
Entity Type:Organization
Organization Name:KRISTA SZALC, AUDIOLOGY, PLLC
Other - Org Name:HORNELL, DANSVILLE, WARSAW HEARING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SZALC
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:410-375-1013
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-0685
Mailing Address - Country:US
Mailing Address - Phone:607-324-0467
Mailing Address - Fax:
Practice Address - Street 1:60 RED JACKET ST
Practice Address - Street 2:SUITE 16
Practice Address - City:DANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14437-1758
Practice Address - Country:US
Practice Address - Phone:607-324-0467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000020804332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment