| NPI | 1013251099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE LANE Owner 518-257-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002028) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000029566) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |