Provider Demographics
NPI:1881899664
Name:HOME AUDIOLOGY SERVICES, P.C.
Entity type:Organization
Organization Name:HOME AUDIOLOGY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEUHLER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:631-878-1992
Mailing Address - Street 1:201 MONTAUK HWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-1731
Mailing Address - Country:US
Mailing Address - Phone:631-878-1992
Mailing Address - Fax:631-288-2130
Practice Address - Street 1:201 MONTAUK HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-1731
Practice Address - Country:US
Practice Address - Phone:631-878-1992
Practice Address - Fax:631-288-2130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001911237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02896775Medicaid
NY02896775Medicaid