Provider Demographics
NPI:1386705325
Name:STRAUSS, NEIL C (MS CCC-A)
Entity type:Individual
Prefix:MR
First Name:NEIL
Middle Name:C
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:MS CCC-A
Other - Prefix:
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Mailing Address - Street 1:10440 QUEENS BLVD
Mailing Address - Street 2:#1C
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3637
Mailing Address - Country:US
Mailing Address - Phone:718-841-7487
Mailing Address - Fax:718-841-7487
Practice Address - Street 1:10440 QUEENS BLVD
Practice Address - Street 2:#1C
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3637
Practice Address - Country:US
Practice Address - Phone:718-841-7487
Practice Address - Fax:718-841-7487
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2011-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY001592-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ44455Medicare UPIN
NYA400010041Medicare PIN