Provider Demographics
NPI:1487995247
Name:PASADYN, ANTHONY M (LICENSED HEARING AID)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:M
Last Name:PASADYN
Suffix:
Gender:M
Credentials:LICENSED HEARING AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ROUTE 46
Mailing Address - Street 2:SUITE G51
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1668
Mailing Address - Country:US
Mailing Address - Phone:973-396-6828
Mailing Address - Fax:
Practice Address - Street 1:3443 MEDINA RD
Practice Address - Street 2:STE 101A
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5360
Practice Address - Country:US
Practice Address - Phone:330-722-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2786237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist