Provider Demographics
NPI:1770783268
Name:ABK AUDIOLOGY PLLC
Entity type:Organization
Organization Name:ABK AUDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLATT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:585-335-5724
Mailing Address - Street 1:134 MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-1313
Mailing Address - Country:US
Mailing Address - Phone:585-335-5724
Mailing Address - Fax:585-335-9612
Practice Address - Street 1:134 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:DANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14437-1313
Practice Address - Country:US
Practice Address - Phone:585-335-5724
Practice Address - Fax:585-335-9612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000017850237600000X
NY001953-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00801Medicare UPIN