Healthcare Provider Details

I. General information

NPI: 1659844991
Provider Name (Legal Business Name): AUDICUS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2019
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W 27TH ST FL 8
NEW YORK NY
10001-6217
US

IV. Provider business mailing address

115 W 27TH ST FL 8
NEW YORK NY
10001-6217
US

V. Phone/Fax

Practice location:
  • Phone: 855-971-0451
  • Fax:
Mailing address:
  • Phone: 855-971-0451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: PATRICK FREULER
Title or Position: CEO
Credential:
Phone: 917-287-6953