| NPI | 1053584029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BASS Audiologist 607-257-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000450) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: NY 15000000623) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2014-03-18 |