Provider Demographics
NPI:1679233241
Name:TRAILVIEW AUDIOLOGY, P.C.
Entity Type:Organization
Organization Name:TRAILVIEW AUDIOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, LEAD PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:HEFFRON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:631-678-7929
Mailing Address - Street 1:34 KNIGHT LN
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-2020
Mailing Address - Country:US
Mailing Address - Phone:631-678-7929
Mailing Address - Fax:
Practice Address - Street 1:34 KNIGHT LN
Practice Address - Street 2:
Practice Address - City:KINGS PARK
Practice Address - State:NY
Practice Address - Zip Code:11754-2020
Practice Address - Country:US
Practice Address - Phone:631-678-7929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty