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Organization

JAMES PRONESTI AUDIOLOGY CONSULTANT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES VINCENT PRONESTI AUD (AUDIOLOGIST)
(203) 997-6490
Entity
Organization

Contact information

Practice address
9402 CHURCH AVE, BOX 121058, BROOKLYN, NY 11212-1679
(203) 997-6490
(203) 487-4490
Mailing address
9402 CHURCH AVE, BOX 121058, BROOKLYN, NY 11212-1679
(347) 525-4076
(203) 487-4490

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
000466
CT
332S00000X
Hearing Aid Equipment
Primary
14000030167
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000466
CT LICENSE
CT
01
002171
NYS LICENSE
NY
05
03821987
NY
05
170597
CT
Enumeration date
11/07/2014
Last updated
04/26/2017
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