Provider Demographics
NPI:1235296369
Name:ASSOCIATED AUDIOLOGY PROFESSIONALS
Entity Type:Organization
Organization Name:ASSOCIATED AUDIOLOGY PROFESSIONALS
Other - Org Name:ASSOCIATED COMMUNICATION PROFESSIONALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:585-671-9925
Mailing Address - Street 1:1096 GLEN EDYTH DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-1706
Mailing Address - Country:US
Mailing Address - Phone:585-671-9925
Mailing Address - Fax:
Practice Address - Street 1:1096 GLEN EDYTH DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-1706
Practice Address - Country:US
Practice Address - Phone:585-671-9925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000141-1231H00000X
NY14000004028237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7433490OtherATENA
NY104531AIOtherPREFERRED CARE
NY000918334001OtherBCBS WNY