| NPI | 1558367342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA BOMS Owner 516-884-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 442) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000000308) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: NY 442) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NY 442) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 442) | |
| Enumeration Date | 2005-06-26 |
| Last Update Date | 2020-08-22 |