Organization
EASTSIDE AUDIOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE M. KATKO AUD, CCC-A (CO-PRESIDENT)
(315) 454-7315
Entity
Organization
Contact information
Practice address
4000 MEDICAL CENTER DR, SUITE 404, FAYETTEVILLE, NY 13066-6631
(315) 454-7315
(315) 617-3694
Mailing address
4000 MEDICAL CENTER DR, SUITE 404, FAYETTEVILLE, NY 13066-6631
(315) 454-7315
(315) 617-3694
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
000093
NY
231H00000X
Audiologist
Primary
001041
NY
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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