Provider Demographics
NPI:1427432665
Name:WESTCHESTER AUDIOLOGY AND HEARING AID SPECIALIST, PC
Entity type:Organization
Organization Name:WESTCHESTER AUDIOLOGY AND HEARING AID SPECIALIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZPATRICK-JAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-253-9160
Mailing Address - Street 1:14 RYE RIDGE PLZ
Mailing Address - Street 2:SUITE 247
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2826
Mailing Address - Country:US
Mailing Address - Phone:914-253-9160
Mailing Address - Fax:914-253-4988
Practice Address - Street 1:14 RYE RIDGE PLZ
Practice Address - Street 2:SUITE 247
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2826
Practice Address - Country:US
Practice Address - Phone:914-253-9160
Practice Address - Fax:914-253-4988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000009547261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech