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General NPI Number Information
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NPI Number | 1245635580
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Entity Type | Organization
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Legal Business Name | ADVANCED AUDIOLOGY SERVICES OF NEW YORK, PC
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 461 PARK AVE 5TH FLOOR ADVANCED AUDIOLOGY SERVICES OF NEW YORK, PC
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City | NEW YORK
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State | NY
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Zip | 10016-1902
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Country | US
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Telephone | 347-815-4327
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Fax | 212-679-6472
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Provider Business Mailing Address
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Address Line | 461 PARK AVE S 5TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10016-1902
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Country | US
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Telephone | 347-815-4327
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Fax | 212-679-6472
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Authorized Official
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Title or Position | OWNER
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Name | MRS. POUYA BRAL
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Credential | AUD
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Telephone | 347-815-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State | NY
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