Provider Demographics
NPI:1588813505
Name:NEW YORK AUDIOLOGICAL, PC
Entity Type:Organization
Organization Name:NEW YORK AUDIOLOGICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCCA
Authorized Official - Phone:718-336-3105
Mailing Address - Street 1:1815 E 28TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2514
Mailing Address - Country:US
Mailing Address - Phone:718-336-3105
Mailing Address - Fax:718-228-2538
Practice Address - Street 1:1815 E 28TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2514
Practice Address - Country:US
Practice Address - Phone:718-336-3105
Practice Address - Fax:718-228-2538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1803261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech