Provider Demographics
NPI:1932339496
Name:GARDEN CITY AUDIOLOGY
Entity Type:Organization
Organization Name:GARDEN CITY AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:516-222-8879
Mailing Address - Street 1:877 STEWART AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4803
Mailing Address - Country:US
Mailing Address - Phone:516-222-8879
Mailing Address - Fax:516-222-0437
Practice Address - Street 1:877 STEWART AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-222-8879
Practice Address - Fax:516-222-0437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-19
Last Update Date:2009-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001183-1332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment