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NPI Code Detail

MEDICARE: JOHN WEIGAND AUDIOLOGY PC

MEDICARE: JOHN WEIGAND AUDIOLOGY PC
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
1261QH0700XHearing and Speech Clinic/Center0016191NY
2231H00000XAudiologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M73881OTHERNYPTAN

General Provider Information

NPI Number : 1700122017
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN WEIGAND AUDIOLOGY PC
Provider Business Mailing Address
First Line : 445 LENOX RD
Second Line : SUITE J BOX 1283
City : BROOKLYN
State : NY
Zip : 11203-2017
Country : US
Telephone Number : 347-983-8918
Fax Number : 914-668-4932
Provider Business Practice Location Address
First Line : 445 LENOX RD
Second Line : SUITE J BOX 1283
City : BROOKLYN
State : NY
Zip : 11203-2017
Country : US
Telephone Number : 347-983-8918
Fax Number : 914-668-4932
Authorized Official
Title or Position : OWNWER/AUD
Name : DR. JOHN WEIGAND
Credential :
Telephone Number : 347-983-8918
Provider Enumeration Date : 12/14/2012
Last Update Date : 04/23/2020

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