Provider Demographics
NPI:1639489842
Name:JENNIFER SCHNEIDER
Entity Type:Organization
Organization Name:JENNIFER SCHNEIDER
Other - Org Name:THE AUDIOLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:CZERNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-712-2000
Mailing Address - Street 1:630 ORCHARD PARK RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-2671
Mailing Address - Country:US
Mailing Address - Phone:716-712-2000
Mailing Address - Fax:
Practice Address - Street 1:630 ORCHARD PARK RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2671
Practice Address - Country:US
Practice Address - Phone:716-712-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001749-1231H00000X
NY000599-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP08052Medicare UPIN
NYS17217Medicare UPIN