Healthcare Provider Details

I. General information

NPI: 1437148129
Provider Name (Legal Business Name): AUDIOLOGY 2000 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 EAST 67TH ST STE 4-F AUDIOLOGY 2000 INC
NEW YORK NY
10021
US

IV. Provider business mailing address

250 FORT LEE RD #C AUDIOLOGY 2000 INC
TEANECK NJ
07666
US

V. Phone/Fax

Practice location:
  • Phone: 212-628-2710
  • Fax: 212-628-3580
Mailing address:
  • Phone: 201-836-8058
  • Fax: 201-836-8057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. THERESE DEIERLEIN
Title or Position: PRESIDENT AUDIOLOGY 2000 INC
Credential: AUD CCCD
Phone: 201-836-8058