Provider Demographics
NPI:1235740879
Name:SIU, YEE TING (AUD)
Entity Type:Individual
Prefix:
First Name:YEE
Middle Name:TING
Last Name:SIU
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:SIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:2900 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-2309
Mailing Address - Country:US
Mailing Address - Phone:716-871-9915
Mailing Address - Fax:716-871-9887
Practice Address - Street 1:2900 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-2309
Practice Address - Country:US
Practice Address - Phone:716-871-9915
Practice Address - Fax:716-871-9887
Is Sole Proprietor?:No
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002965-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist