Provider Demographics
NPI:1518445238
Name:PHILIP AUDIOLOGY & HEARING AID SERVICES, PLLC
Entity Type:Organization
Organization Name:PHILIP AUDIOLOGY & HEARING AID SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:917-232-8259
Mailing Address - Street 1:152 NASSAU AVE
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-2438
Mailing Address - Country:US
Mailing Address - Phone:917-232-8259
Mailing Address - Fax:
Practice Address - Street 1:152 NASSAU AVE
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:917-232-8259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0022811231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty