Healthcare Provider Details

I. General information

NPI: 1881899664
Provider Name (Legal Business Name): HOME AUDIOLOGY SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 09/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 MONTAUK HWY SUITE 4
WESTHAMPTON BEACH NY
11978-1731
US

IV. Provider business mailing address

201 MONTAUK HWY SUITE 4
WESTHAMPTON BEACH NY
11978-1731
US

V. Phone/Fax

Practice location:
  • Phone: 631-878-1992
  • Fax: 631-288-2130
Mailing address:
  • Phone: 631-878-1992
  • Fax: 631-288-2130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number001911
License Number StateNY

VIII. Authorized Official

Name: DR. CHRISTOPHER BEUHLER
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 631-878-1992