Provider Demographics
NPI:1659559706
Name:AUDIOLOGICAL CONSULTING, P.C.
Entity Type:Organization
Organization Name:AUDIOLOGICAL CONSULTING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GENNA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:516-873-9742
Mailing Address - Street 1:99 HILLSIDE AVE
Mailing Address - Street 2:SUITE 99H
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2333
Mailing Address - Country:US
Mailing Address - Phone:516-873-9742
Mailing Address - Fax:516-873-9861
Practice Address - Street 1:99 HILLSIDE AVE
Practice Address - Street 2:SUITE 99H
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2333
Practice Address - Country:US
Practice Address - Phone:516-873-9742
Practice Address - Fax:516-873-9861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001105237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01749724Medicaid
NY01749724Medicaid