Provider Demographics
NPI:1952338675
Name:LENIEK, KRISTI H (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:H
Last Name:LENIEK
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 HOOPER RD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:ENDWELL
Mailing Address - State:NY
Mailing Address - Zip Code:13760-1560
Mailing Address - Country:US
Mailing Address - Phone:607-786-5130
Mailing Address - Fax:607-786-4637
Practice Address - Street 1:800 HOOPER RD
Practice Address - Street 2:SUITE 370
Practice Address - City:ENDWELL
Practice Address - State:NY
Practice Address - Zip Code:13760-1560
Practice Address - Country:US
Practice Address - Phone:607-786-5130
Practice Address - Fax:607-786-4637
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001485231H00000X
NY14000008824237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB1595OtherPTAN