Provider Demographics
NPI:1457323636
Name:NASSAU AUDIOLOGICAL PRODUCTS, INC.
Entity type:Organization
Organization Name:NASSAU AUDIOLOGICAL PRODUCTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:516-538-0899
Mailing Address - Street 1:1 FULTON AVE
Mailing Address - Street 2:SUITE 24
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3646
Mailing Address - Country:US
Mailing Address - Phone:516-538-0899
Mailing Address - Fax:516-538-0744
Practice Address - Street 1:1 FULTON AVE
Practice Address - Street 2:SUITE 24
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3646
Practice Address - Country:US
Practice Address - Phone:516-538-0899
Practice Address - Fax:516-538-0744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000883231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYHIP08799OtherHIP-PIN
NY000883OtherHIP-VIP
NY1000039875OtherAFFINITY HEALTH PLAN
NY01121457Medicaid
NYM25191OtherEMPIRE BC/BS
NYM25191OtherEMPIRE BC/BS