Individual
DR. JO ANN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
20 ARGYLE SQ, BABYLON, NY 11702-2712
(631) 661-5111
(631) 661-1959
Mailing address
20 ARGYLE SQ, BABYLON, NY 11702-2712
(631) 661-5111
(631) 661-1959
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
002241-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022411
AUDIOLOGIST LICENSE
NY
01
—
14000027971
HEARING AID DISPENSER
NY
01
—
A300001821
MEDICARE PTAN
NY
Enumeration date
01/08/2009
Last updated
01/02/2017
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