MEDICARE: AUDIOLOGY & HEARING HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	002221	NY
2	237600000X	Audiologist-Hearing Aid Fitter	002239	NY

General Provider Information

NPI Number	:	1417312091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDIOLOGY & HEARING HEALTH PLLC

Provider Business Mailing Address
First Line	:	3942 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3942 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2902
Country	:	US
Telephone Number	:	917-299-1291
Fax Number	:

Authorized Official
Title or Position	:	AUDIOLOGIST
Name	:	DR. KATHERINE ANDREADIS
Credential	:
Telephone Number	:	917-299-1291

Provider Enumeration Date	:	12/23/2015
Last Update Date	:	02/09/2016

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