Provider Demographics
NPI:1356475990
Name:LAWRENCE J. DEUTSCH PHD, PC
Entity Type:Organization
Organization Name:LAWRENCE J. DEUTSCH PHD, PC
Other - Org Name:AUDIONICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-224-6100
Mailing Address - Street 1:21008 NORTHERN BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3211
Mailing Address - Country:US
Mailing Address - Phone:718-224-6100
Mailing Address - Fax:718-224-8395
Practice Address - Street 1:21008 NORTHERN BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3211
Practice Address - Country:US
Practice Address - Phone:718-224-6100
Practice Address - Fax:718-224-8395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY581887231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty