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General NPI Number Information
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NPI Number | 1609290923
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Entity Type | Organization
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Legal Business Name | NEW YORK AUDIOLOGY CENTER,INC.
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 444 E 82ND ST APT 28D
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City | NEW YORK
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State | NY
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Zip | 10028-5929
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Country | US
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Telephone | 212-499-0691
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Fax |
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Provider Business Mailing Address
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Address Line | 444 E 82ND ST APT 28D
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City | NEW YORK
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State | NY
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Zip | 10028-5929
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Country | US
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Telephone | 212-499-0691
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHEILA FLAXMAN
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Credential |
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Telephone | 212-499-0691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 001073-1
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License Number State | NY
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