Provider Demographics
NPI:1417953183
Name:BIASOTTI, LORI ANNE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANNE
Last Name:BIASOTTI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:LORI
Other - Middle Name:ANNE
Other - Last Name:BIASOTTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:18 WESTAGE BUSINESS CTR DR
Mailing Address - Street 2:FAMILY HEARING CENTER
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2219
Mailing Address - Country:US
Mailing Address - Phone:845-897-3059
Mailing Address - Fax:845-897-3254
Practice Address - Street 1:18 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:FAMILY HEARING CENTER
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2219
Practice Address - Country:US
Practice Address - Phone:845-897-3059
Practice Address - Fax:845-897-3254
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001245-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
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NY46465OtherGHI-HMO
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NY1745703OtherUNITED HEALTHCARE
NY6015687OtherGHI
NY640004235OtherRAILROAD RET. MEDICARE
NY161520578OtherCIGNA
NY161520578OtherNYS EMPIRE PLAN
NYM2467OtherBLUE CROSS BLUE SHIELD
NY1C1391OtherHEALTH NET
NY5035526OtherAETNA
NYP600485OtherOXFORD
NY56981OtherMVP