=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366691537
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATELYN M STOEHR AU.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2008
-----------------------------------------------------
Last Update Date | 06/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1700 E JERICHO TPKE
-----------------------------------------------------
City | HUNTINGTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11743-5614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-462-1900
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 88 CUBA HILL RD
-----------------------------------------------------
City | GREENLAWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11740-2720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-553-6779
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 2213
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------