Organization
AUDIOLOGICAL DIAGNOSTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DASSAN ALI SCD., CCC-A (PRESIDENT)
(718) 745-2826
Entity
Organization
Contact information
Practice address
447 77TH ST, BROOKLYN, NY 11209-3205
(718) 745-2826
(718) 745-0040
Mailing address
447 77TH ST, BROOKLYN, NY 11209-3205
(718) 745-2826
(718) 745-0040
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
15000002425
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000423458104
HEALTH PLUS
NY
01
—
0079201
GHI
NY
01
—
147447
PREFERRED CARE
NY
01
—
161820
ELDERPLAN
NY
01
—
37077
GHI HMO
NY
01
—
5977349
AETNA
NY
01
—
M0830P
HIP
NY
Enumeration date
01/29/2007
Last updated
07/16/2008
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