Organization
FAMILY AUDIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI H LENIEK MS, CCC-A (AUDIOLOGIST/OWNER)
(607) 786-5130
Entity
Organization
Contact information
Practice address
800 HOOPER RD, SUITE 370, ENDWELL, NY 13760-1560
(607) 786-5130
(607) 786-4637
Mailing address
800 HOOPER RD, SUITE 370, ENDWELL, NY 13760-1560
(607) 786-5130
(607) 786-4637
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001485
NY
237600000X
Audiologist-Hearing Aid Fitter
15000011888
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA0975
PTAN
NY
Enumeration date
06/25/2006
Last updated
11/12/2008
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