Provider Demographics
NPI:1578545588
Name:SONOTONE ON THE HUDSON, INC.
Entity Type:Organization
Organization Name:SONOTONE ON THE HUDSON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:ROBINSON FROMMELT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCCA
Authorized Official - Phone:914-819-3898
Mailing Address - Street 1:43 PINESBRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4333
Mailing Address - Country:US
Mailing Address - Phone:914-819-3898
Mailing Address - Fax:914-944-1557
Practice Address - Street 1:2017 WILLIAMSBRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1606
Practice Address - Country:US
Practice Address - Phone:718-678-8277
Practice Address - Fax:718-678-8278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-16
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000970231H00000X, 231HA2400X, 237600000X
NY14000012300237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW21354OtherOXFORD
NY01142507Medicaid
NY4806617OtherGHI
NY5606045OtherAETNA US HEALTHCARE