Provider Demographics
NPI:1457504516
Name:NY AUDIOLOGY PLLC
Entity type:Organization
Organization Name:NY AUDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:WINNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FENG
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:718-968-3333
Mailing Address - Street 1:13618 39TH AVE
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5400
Mailing Address - Country:US
Mailing Address - Phone:718-968-3333
Mailing Address - Fax:
Practice Address - Street 1:13618 39TH AVE
Practice Address - Street 2:SUITE 1005
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5400
Practice Address - Country:US
Practice Address - Phone:718-968-3333
Practice Address - Fax:718-968-3333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-02
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001955231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty