Provider Demographics
NPI:1376833780
Name:LOUISE LEVY AUDIOLOGY, P.C.
Entity Type:Organization
Organization Name:LOUISE LEVY AUDIOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:212-472-1350
Mailing Address - Street 1:863 PARK AVE OFC 1E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0380
Mailing Address - Country:US
Mailing Address - Phone:212-472-1350
Mailing Address - Fax:212-472-1336
Practice Address - Street 1:863 PARK AVE OFC 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0380
Practice Address - Country:US
Practice Address - Phone:212-472-1350
Practice Address - Fax:212-472-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY706231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty