MEDICARE: DR. ALEXANDRA HAYNIE AUD

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	002884	NY
2	237600000X	Audiologist-Hearing Aid Fitter	41YA00140200	NJ
3	237600000X	Audiologist-Hearing Aid Fitter	30004948	NC
4	237600000X	Audiologist-Hearing Aid Fitter	14000058256	NY
5	237600000X	Audiologist-Hearing Aid Fitter	5281500	ID
6	237600000X	Audiologist-Hearing Aid Fitter	2201002077	VA
7	237600000X	Audiologist-Hearing Aid Fitter	138078	IA
8	237600000X	Audiologist-Hearing Aid Fitter	14276733-4101	UT

General Provider Information

NPI Number	:	1659939064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA HAYNIE AUD

Provider Business Mailing Address
First Line	:	89 SERRELL AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312
Country	:	US
Telephone Number	:	855-423-3700
Fax Number	:	516-992-8266

Provider Business Practice Location Address
First Line	:	31 WEST MAIN STREET
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728
Country	:	US
Telephone Number	:	732-810-2104
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	04/17/2026

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Directions to “ DR. ALEXANDRA HAYNIE AUD” Practice Location

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