Healthcare Provider Details

I. General information

NPI: 1477502805
Provider Name (Legal Business Name): OHS RN & AUDIOLOGY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 01/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WINTHROP UNIVERSITY HOSPITAL 259 FIRST ST
MINEOLA NY
11501
US

IV. Provider business mailing address

108 CENTRE BLVD SUITE I
MARLTON NJ
08053-4132
US

V. Phone/Fax

Practice location:
  • Phone: 856-702-6100
  • Fax: 856-396-0406
Mailing address:
  • Phone: 856-702-6100
  • Fax: 856-396-0406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number002022
License Number StateNY

VIII. Authorized Official

Name: MRS. CATHY LIPTON
Title or Position: PRESIDENT
Credential:
Phone: 856-702-6100