Healthcare Provider Details

I. General information

NPI: 1700796703
Provider Name (Legal Business Name): TREBLE HEALTH AUDIOLOGY OF NEW YORK, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E 56TH ST RM 430
NEW YORK NY
10022-3679
US

IV. Provider business mailing address

120 E 56TH ST RM 430
NEW YORK NY
10022-3679
US

V. Phone/Fax

Practice location:
  • Phone: 212-784-6125
  • Fax:
Mailing address:
  • Phone: 212-784-6125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: GARRETT THOMPSON
Title or Position: PRESIDENT
Credential: AUD
Phone: 401-741-8809