Provider Demographics
NPI:1245232511
Name:LORING, PETER CHARLES (AUD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:CHARLES
Last Name:LORING
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 LARKFIELD RD STE 108
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3136
Mailing Address - Country:US
Mailing Address - Phone:631-543-4327
Mailing Address - Fax:631-543-3735
Practice Address - Street 1:777 LARKFIELD RD
Practice Address - Street 2:SUITE 108
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3136
Practice Address - Country:US
Practice Address - Phone:631-543-4327
Practice Address - Fax:631-543-3735
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001725231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist