Healthcare Provider Details

I. General information

NPI: 1033668892
Provider Name (Legal Business Name): SCHAEFFER AUDIOLOGY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2016
Last Update Date: 11/03/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 RIVER ST SUITE 106
VALATIE NY
12184-9694
US

IV. Provider business mailing address

1301 RIVER ST SUITE 106
VALATIE NY
12184-9694
US

V. Phone/Fax

Practice location:
  • Phone: 518-758-1619
  • Fax: 518-758-1621
Mailing address:
  • Phone: 518-758-1619
  • Fax: 518-758-1621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY SCHAEFFER
Title or Position: OWNER
Credential:
Phone: 561-283-0384