Individual
KATHLEEN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., F.A.A.A.
Contact information
Practice address
732 SMITHTOWN BYP, SUITE 301, SMITHTOWN, NY 11787-5020
(631) 360-4327
(631) 780-6822
Mailing address
732 SMITHTOWN BYP, SUITE 301, SMITHTOWN, NY 11787-5020
(631) 360-4327
(631) 780-6822
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063425353
NPI
—
01
—
1114936291
NPI
—
01
—
G100025456
MEDICARE PTAN - PRACTICE/HEARS AUDIOLOGY PC (QUEENS-SILVERCREST)
—
01
—
G400025969
MEDICARE PTAN - INDIVIDUAL, QUEENS (SILVERCREST)
—
01
—
M7107WA271
MEDICARE PTAN - INDIVIDUAL IN GROUP/PRACTICE
—
01
—
M74613
EMPIRE BLUE CROSS/BLUE SH
NY
01
—
WWA271
MEDICARE PTAN - PRACTICE/HEARS AUDIOLOGY PC
—
Enumeration date
08/15/2006
Last updated
09/07/2013
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