| NPI | 1194973818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ALAN BODKIN COO 914-261-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00057700) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: NJ 41YA00057700) |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: NJ 41YA00057700) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00090100) | |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2008-09-06 |