Provider Demographics
NPI:1235382078
Name:DIGITAL AUDIOLOGY ASSOCIATES P C
Entity Type:Organization
Organization Name:DIGITAL AUDIOLOGY ASSOCIATES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:V
Authorized Official - Last Name:MULRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUDIOLOGIST
Authorized Official - Phone:718-938-4297
Mailing Address - Street 1:21 COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-2601
Mailing Address - Country:US
Mailing Address - Phone:718-938-4297
Mailing Address - Fax:
Practice Address - Street 1:7506 ELIOT AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-1207
Practice Address - Country:US
Practice Address - Phone:718-938-4297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001395261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech