Provider Demographics
NPI:1477995108
Name:FRISCH AUDIOLOGY LLC
Entity Type:Organization
Organization Name:FRISCH AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRISCH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:201-754-8495
Mailing Address - Street 1:107 W TRYON AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3605
Mailing Address - Country:US
Mailing Address - Phone:201-754-8495
Mailing Address - Fax:201-443-1339
Practice Address - Street 1:107 W TRYON AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3605
Practice Address - Country:US
Practice Address - Phone:201-754-8495
Practice Address - Fax:201-443-1339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41Y00079000231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty