Healthcare Provider Details

I. General information

NPI: 1861771172
Provider Name (Legal Business Name): ACOUSTICON HASKILL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2011
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 MAIN ST
HACKENSACK NJ
07601-5704
US

IV. Provider business mailing address

255 MAIN ST
HACKENSACK NJ
07601-5704
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-1080
  • Fax: 201-342-3464
Mailing address:
  • Phone: 201-342-1080
  • Fax: 201-342-3464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MS. YVONNE R HASKILL
Title or Position: OWNER
Credential:
Phone: 201-342-1080