Provider Demographics
NPI:1386190635
Name:APONTE, LIANNE (AUD)
Entity type:Individual
Prefix:
First Name:LIANNE
Middle Name:
Last Name:APONTE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160-10 CROSS BAY BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2750
Mailing Address - Country:US
Mailing Address - Phone:718-323-1128
Mailing Address - Fax:
Practice Address - Street 1:160-10 CROSS BAY BOULEVARD
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2750
Practice Address - Country:US
Practice Address - Phone:718-323-1128
Practice Address - Fax:718-659-0517
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002657-1237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter