MEDICARE: AMHERST AUDIOLOGICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	001196-1	NY
2	231HA2400X	Assistive Technology Practitioner Audiologist	001196-1	NY
3	231HA2500X	Assistive Technology Supplier Audiologist	001196-1	NY
4	237700000X	Hearing Instrument Specialist	15000002607	NY
5	237600000X	Audiologist-Hearing Aid Fitter	001196-1	NY

General Provider Information

NPI Number	:	1598741530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMHERST AUDIOLOGICAL SERVICES

Provider Business Mailing Address
First Line	:	315 ALBERTA DR
Second Line	:	SUITE 105
City	:	AMHERST
State	:	NY
Zip	:	14226-1814
Country	:	US
Telephone Number	:	716-838-5360
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 ALBERTA DR
Second Line	:	SUITE 105
City	:	AMHERST
State	:	NY
Zip	:	14226-1814
Country	:	US
Telephone Number	:	716-838-5360
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTINE J GRAF
Credential	:	AU.D.
Telephone Number	:	716-838-5360

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	11/27/2013

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