Provider Demographics
NPI:1851494025
Name:ACOUSTICON OF FLUSHING INC
Entity Type:Organization
Organization Name:ACOUSTICON OF FLUSHING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANANBERG
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:718-445-3333
Mailing Address - Street 1:3901 MAIN ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5432
Mailing Address - Country:US
Mailing Address - Phone:718-445-3333
Mailing Address - Fax:718-445-6794
Practice Address - Street 1:3901 MAIN ST
Practice Address - Street 2:SUITE 206
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5432
Practice Address - Country:US
Practice Address - Phone:718-445-3333
Practice Address - Fax:718-445-6794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000010562332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02363651Medicaid