Georgia N. Harter, M.A.

Individual provider Active NPI Audiologist · Lancaster, NY

NPI 1003144411 · NPPES record last updated Nov 23, 2009

Key facts

NPI
1003144411
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
001289-1 (NY)
Practice address
56 Church Street
Lancaster, NY 14086
Phone
(716) 681-6722
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110323001068 NY Practitioner - Qualified Audiologist 0345423638 Practice locations: Batavia, NY

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001289-1NYMDOccupational Therapy Assistant
14000003279NYMDEyewear Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Village Audiology and Hearing Aid Services, PLLC Audiologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001289-1 NY Yes
Eyewear Supplier 332H00000X 14000003279 NY

Addresses

Primary practice location

56 Church Street
Lancaster, NY 14086

Mailing address

56 Church Street
Lancaster, NY 14086
Phone (716) 681-6722

Other identifiers

IdentifierTypeStateIssuer
01384849MedicaidNY

Other providers in Lancaster, NY

All providers in Lancaster, NY · Audiologist in New York

Sources for this page

Verify at the official NPI Registry.