Provider Demographics
NPI:1275762916
Name:GRANEY, ASHLEY EISEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:EISEN
Last Name:GRANEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:JILL
Other - Last Name:EISEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1002
Mailing Address - Country:US
Mailing Address - Phone:716-885-8318
Mailing Address - Fax:716-885-4229
Practice Address - Street 1:50 E NORTH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1002
Practice Address - Country:US
Practice Address - Phone:716-885-8318
Practice Address - Fax:716-885-4229
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002260-1231H00000X
NY14000026905237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist