| NPI | 1164698106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE STEPHEN TERRY Partner 607-369-3802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 001276-1) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 15000000167) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |