NPI 1083940415 · live from the CMS NPI Registry
Audiology Balance Diagnostic P.C.
Audiologist in Brooklyn, NY. National Provider Identifier 1083940415, active.
NPI record
| NPI | 1083940415 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 50 Brighton 1st Rd, 15l, Brooklyn, NY 11235 |
| Practice phone | 732-801-6984 |
| Enumerated | October 20, 2009 |
| Last updated | October 20, 2009 |
| Authorized official | Olesia Ivanutenko, Au.D. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 002270 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.