Provider Demographics
NPI:1295885663
Name:AUDIOLOGY ENDEAVORS, PC
Entity type:Organization
Organization Name:AUDIOLOGY ENDEAVORS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:518-383-4273
Mailing Address - Street 1:989 ROUTE 146
Mailing Address - Street 2:BLDG 300 SUITE 302
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3646
Mailing Address - Country:US
Mailing Address - Phone:518-383-4273
Mailing Address - Fax:518-383-4274
Practice Address - Street 1:989 ROUTE 146
Practice Address - Street 2:BLDG 300 SUITE 302
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3646
Practice Address - Country:US
Practice Address - Phone:518-383-4273
Practice Address - Fax:518-383-4274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0098Medicare PIN