=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700796703
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TREBLE HEALTH AUDIOLOGY OF NEW YORK, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2026
-----------------------------------------------------
Last Update Date | 09/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 120 E 56TH ST RM 430
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10022-3679
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-784-6125
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 120 E 56TH ST RM 430
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10022-3679
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-784-6125
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | GARRETT THOMPSON
-----------------------------------------------------
Credential | AUD
-----------------------------------------------------
Telephone | 401-741-8809
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------