Provider Demographics
NPI:1275852808
Name:EASTSIDE AUDIOLOGY PC
Entity Type:Organization
Organization Name:EASTSIDE AUDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FINKELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:212-327-1155
Mailing Address - Street 1:162 EAST 76TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075
Mailing Address - Country:US
Mailing Address - Phone:212-327-1155
Mailing Address - Fax:
Practice Address - Street 1:162 EAST 78TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075
Practice Address - Country:US
Practice Address - Phone:212-327-1155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2802348OtherUNITED HEALTH CARE
NY11303OtherMAGNACARE
NY8047489OtherCIGNA HEALTH CARE
NYFE0431OtherATLANTIS HEALTH CARE
NYP3835366OtherOXFORD HEALTH PLAN
NY13853OtherHEALTHNET
NY829469POtherHIP
NY0169199OtherGHI
NY6C6564OtherHEALTHNET
NY9275215OtherAETNA
NY10000-64075OtherAFFINITY
NY829469POtherHIP