Healthcare Provider Details

I. General information

NPI: 1215939368
Provider Name (Legal Business Name): NEAL A. SLOANE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 NORTHERN BLVD STE 104
GREAT NECK NY
11021-5118
US

IV. Provider business mailing address

575 UNDERHILL BLVD STE175
SYOSSET NY
11791-3426
US

V. Phone/Fax

Practice location:
  • Phone: 516-466-3266
  • Fax: 516-487-6329
Mailing address:
  • Phone: 516-921-4443
  • Fax: 516-921-9176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number678
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number678
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: