Provider Demographics
NPI:1972991362
Name:AUDIBEL OF ONEONTA, LLC
Entity type:Organization
Organization Name:AUDIBEL OF ONEONTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DISPENSER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:SAMILE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-432-3484
Mailing Address - Street 1:4966 STATE HIGHWAY 23
Mailing Address - Street 2:SUITE #4
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-4506
Mailing Address - Country:US
Mailing Address - Phone:607-432-3484
Mailing Address - Fax:
Practice Address - Street 1:4966 STATE HIGHWAY 23
Practice Address - Street 2:SUITE #4
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-4506
Practice Address - Country:US
Practice Address - Phone:607-432-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000004594332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment