Provider Demographics
NPI:1366699340
Name:WESTCHESTER AUDIOLOGY, PLLC
Entity type:Organization
Organization Name:WESTCHESTER AUDIOLOGY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:THAYER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:914-337-0018
Mailing Address - Street 1:1 STONE PL
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3426
Mailing Address - Country:US
Mailing Address - Phone:914-337-0018
Mailing Address - Fax:914-337-0541
Practice Address - Street 1:1 STONE PL
Practice Address - Street 2:SUITE 203
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3426
Practice Address - Country:US
Practice Address - Phone:914-337-0018
Practice Address - Fax:914-337-0541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001627-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ09387Medicare UPIN
NYM73131Medicare PIN