Provider Demographics
NPI:1760616049
Name:HUNTINGTON AUDIOLOGY PC
Entity Type:Organization
Organization Name:HUNTINGTON AUDIOLOGY PC
Other - Org Name:HUNTINGTON HEARING & SPEECH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-271-6263
Mailing Address - Street 1:44 ELM ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3403
Mailing Address - Country:US
Mailing Address - Phone:631-271-6263
Mailing Address - Fax:631-271-2062
Practice Address - Street 1:44 ELM ST
Practice Address - Street 2:SUITE 4
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3403
Practice Address - Country:US
Practice Address - Phone:631-271-6263
Practice Address - Fax:631-271-2062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty