Provider Demographics
NPI:1508262270
Name:AUDIOLOGY BY THE SOUND PLLC
Entity Type:Organization
Organization Name:AUDIOLOGY BY THE SOUND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AUER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:631-205-9059
Mailing Address - Street 1:114 RAYNOR RD
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11961-1900
Mailing Address - Country:US
Mailing Address - Phone:631-205-9059
Mailing Address - Fax:631-910-2066
Practice Address - Street 1:114 RAYNOR RD
Practice Address - Street 2:
Practice Address - City:RIDGE
Practice Address - State:NY
Practice Address - Zip Code:11961-1900
Practice Address - Country:US
Practice Address - Phone:631-205-9059
Practice Address - Fax:631-910-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001912-1231H00000X
14000017217237600000X
NY15000012121237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
M75141OtherPCAN
NYQ60389Medicare UPIN