Provider Demographics
NPI:1255762233
Name:NEIGH, ROBERT EDWARD (AUDIOLOGY)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:EDWARD
Last Name:NEIGH
Suffix:
Gender:M
Credentials:AUDIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33-57 HARRISON ST
Mailing Address - Street 2:AUDIOLOGY DEPT
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-2107
Mailing Address - Country:US
Mailing Address - Phone:607-763-6554
Mailing Address - Fax:607-763-5637
Practice Address - Street 1:33-57 HARRISON ST
Practice Address - Street 2:AUDIOLOGY DEPT
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-2107
Practice Address - Country:US
Practice Address - Phone:607-763-6554
Practice Address - Fax:607-763-5637
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001218231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist