NPI 1265809081 · live from the CMS NPI Registry
Susan A. Antonellis, Au.D. CCC-A/F-AAA
Audiologist in Mill Neck, NY. National Provider Identifier 1265809081, active.
NPI record
| NPI | 1265809081 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 40 Frost Mill Rd, Mill Neck, NY 11765 |
| Practice phone | 516-628-4268 |
| Enumerated | August 27, 2015 |
| Last updated | October 6, 2016 |
| Sole proprietor | No |
| Other names | Susan Clementi |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 000801-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.