Premiere Audiology, P.C.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

002069-1 Issued in NY

Legal business name

PREMIERE AUDIOLOGY, P.C.

Practice address

2065 Boston Post Rd
Larchmont, NY 10538-3944

Phone

(646) 584-8571

NPI assigned

Feb 17, 2010

Last updated

Feb 17, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen L Manley, CCC-A

Title

Owner

Phone

(646) 584-8571

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1457673543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383944",
            "telephone_number": "646-584-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383944",
            "telephone_number": "646-584-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE AUDIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-584-8571",
        "authorized_official_credential": "CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002069-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Fernandes Pires
• Jacqueline Plumez, PH.D.
• Monique Ponce
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• Natalia Powell
• Amy Beth Price, PSY.D.
• Laura E Prunty, DO
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• Julia Anna Rabadi, D.P.M
• Radha V Raghupathy, M.D

• Audiologist in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.