=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144645227
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZIFFSKY CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2014
-----------------------------------------------------
Last Update Date | 02/26/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20 E 68TH ST SUITE 210
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10065-5844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-879-2329
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1025 5TH AVE 5E SOUTH
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10028-0134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-959-1801
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | ROBYN BARSKY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 617-959-1801
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332S00000X
-----------------------------------------------------
Taxonomy Name | Hearing Aid Equipment
-----------------------------------------------------
License Number | 15000023076
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------