Provider Demographics
NPI:1255591988
Name:FAMILY AUDIOLOGY SERVICES PLLC
Entity type:Organization
Organization Name:FAMILY AUDIOLOGY SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BIASOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:845-897-3059
Mailing Address - Street 1:18 WESTAGE BUSINESS CTR DR
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2219
Mailing Address - Country:US
Mailing Address - Phone:845-897-3059
Mailing Address - Fax:845-897-3254
Practice Address - Street 1:18 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2219
Practice Address - Country:US
Practice Address - Phone:845-897-3059
Practice Address - Fax:845-897-3254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001245-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06321OtherHEAR USA
NY640004235OtherRAILROAD RETIRED MEDICARE
NYP600485OtherOXFORD
NY958209OtherMVP
NY46465OtherGHI-HMO
NY1C1391OtherHEALTH NET
NYP11157130OtherMULTI-PLAN
NY1745703OtherUNITED HEALTHCARE
NY50355269OtherAETNA
NY6015687OtherGHI
NYM2467OtherBLUE CROSS BLUE SHIELD
10034802OtherCDPHP
NYM24671Medicare PIN