Healthcare Provider Details

I. General information

NPI: 1851584841
Provider Name (Legal Business Name): EAR WORKS AUDIOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 03/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 SOUTHERN BLVD SUITE 4
NESCONSET NY
11767-1091
US

IV. Provider business mailing address

57 SOUTHERN BLVD SUITE 4
NESCONSET NY
11767-1091
US

V. Phone/Fax

Practice location:
  • Phone: 631-238-5785
  • Fax: 631-238-5786
Mailing address:
  • Phone: 631-238-5785
  • Fax: 631-238-5786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number15000009626
License Number StateNY

VIII. Authorized Official

Name: DR. TONI RUTH ZANETTI
Title or Position: DOCTOR OF AUDIOLOGY
Credential: AUD
Phone: 516-248-0068