Provider Demographics
NPI:1609290923
Name:NEW YORK AUDIOLOGY CENTER,INC.
Entity Type:Organization
Organization Name:NEW YORK AUDIOLOGY CENTER,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAXMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-499-0691
Mailing Address - Street 1:444 E 82ND ST APT 28D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-5929
Mailing Address - Country:US
Mailing Address - Phone:212-499-0691
Mailing Address - Fax:
Practice Address - Street 1:444 E 82ND ST APT 28D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-5929
Practice Address - Country:US
Practice Address - Phone:212-499-0691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001073-1305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization