Eastside Audiology Services, LLC

NPI #1548570807 in Fayetteville, New York

Provider Information

NPI Number: 1548570807
Entity Type: Organization
Organization Name: Eastside Audiology Services, LLC
Primary Specialty: Audiologist
Enumeration Date: Oct 20, 2010
Last Updated: Oct 20, 2010

Practice Location

Address: 4000 MEDICAL CENTER DR
Address 2: SUITE 404
City: Fayetteville
State: New York
ZIP Code: 13066-6631
Phone: (315) 454-7315

Authorized Official

Name: DR. SUZANNE M. KATKO, AUD, CCC-A
Title: CO-PRESIDENT
Phone: (315) 454-7315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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