=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295118115
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NYC HEARING ASSOCIATES OF GARDEN CITY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2015
-----------------------------------------------------
Last Update Date | 07/09/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 229 7TH ST SUITE 307
-----------------------------------------------------
City | GARDEN CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11530-5766
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-408-3006
-----------------------------------------------------
Fax | 216-408-3003
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 229 7TH ST SUITE 307
-----------------------------------------------------
City | GARDEN CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11530-5766
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-408-3006
-----------------------------------------------------
Fax | 216-408-3003
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. JESSICA FRANKEL
-----------------------------------------------------
Credential | AU.D.
-----------------------------------------------------
Telephone | 212-354-2360
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237600000X
-----------------------------------------------------
Taxonomy Name | Audiologist-Hearing Aid Fitter
-----------------------------------------------------
License Number | 002139-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------