Organization
GN AUDIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOSTAS NEOCLIS (OWNER)
(516) 261-9398
Entity
Organization
Contact information
Practice address
4770 SUNRISE HWY STE 106, MASSAPEQUA PARK, NY 11762-2911
(516) 261-9398
(516) 261-9399
Mailing address
4117 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5605
(516) 261-9398
(516) 261-9399
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
15000026480
NY
Other
Enumeration date
09/14/2016
Last updated
11/13/2019
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