Provider Demographics
NPI:1760827505
Name:SOUNDS GOOD AUDIOLOGY SERVICES PLLC
Entity Type:Organization
Organization Name:SOUNDS GOOD AUDIOLOGY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DABAKAROV
Authorized Official - Suffix:
Authorized Official - Credentials:AUD CCC-A
Authorized Official - Phone:917-751-8455
Mailing Address - Street 1:11919 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2512
Mailing Address - Country:US
Mailing Address - Phone:917-751-8455
Mailing Address - Fax:
Practice Address - Street 1:11919 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11418-2512
Practice Address - Country:US
Practice Address - Phone:917-751-8455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization