Organization
NORTHTOWN AUDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC JOSEPH MESSINEO AUD DOCTOR OF AUDIOL (AUDIOLOGIST DIRECTOR)
(716) 691-3817
Entity
Organization
Contact information
Practice address
6041 TRANSIT RD., SUITE 101, EAST AMHERST, NY 14051
(716) 691-3817
(716) 691-3548
Mailing address
6041 TRANSIT RD., SUITE 101, EAST AMHERST, NY 14051
(716) 691-3817
(716) 691-3548
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025858301
UNIVERA
NY
01
—
005760672
BLUE CROSS BLUE SHIELD
NY
01
—
9211446
INDEPENDENT HEALTH
NY
Enumeration date
01/09/2007
Last updated
03/23/2020
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