Provider Demographics
NPI:1437224789
Name:ARAYA, MICHAEL A (AUD DOCTOR OF AUDIOL)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:ARAYA
Suffix:
Gender:M
Credentials:AUD DOCTOR OF AUDIOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 POLAR PLAZA
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010
Mailing Address - Country:US
Mailing Address - Phone:518-842-8000
Mailing Address - Fax:
Practice Address - Street 1:109 POLAR PLAZA
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010
Practice Address - Country:US
Practice Address - Phone:518-842-8000
Practice Address - Fax:518-867-0667
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0015952231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DD1052Medicare ID - Type Unspecified