Provider Demographics
NPI:1356030407
Name:SOLOMON TAITELBAUM AUDIOLOGY P.C.
Entity type:Organization
Organization Name:SOLOMON TAITELBAUM AUDIOLOGY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:TAITELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:917-282-2802
Mailing Address - Street 1:1328 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4631
Mailing Address - Country:US
Mailing Address - Phone:917-282-2802
Mailing Address - Fax:
Practice Address - Street 1:3200 BRONX BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6305
Practice Address - Country:US
Practice Address - Phone:718-547-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty