Provider Demographics
NPI:1316283658
Name:AK AUDIOLOGY CARE PC
Entity type:Organization
Organization Name:AK AUDIOLOGY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:FARRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:516-829-8323
Mailing Address - Street 1:11 GRACE AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2446
Mailing Address - Country:US
Mailing Address - Phone:516-829-8323
Mailing Address - Fax:
Practice Address - Street 1:11 GRACE AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2446
Practice Address - Country:US
Practice Address - Phone:516-829-8323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002350231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty