State Of New York Comptrollers Office
Audiologist in Fredonia, NY. Organization (NPI-2).
NPI number1508079567
StatusActive
Last updated in NPPESNov 16, 2018
Details
- NPI
- 1508079567
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of New York Comptrollers Office
- Organization subpart
- No
- Enumeration date
- May 7, 2007
- Last updated
- Nov 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Other names
- Suny Fredonia/Youngerman Center For Communication Disorders (Doing Business As)
- Suny Fredonia/Youngerman Center For Communication Disorders (Other Name)
Practice location
280 Central AveW123 Thompson Hall
Fredonia, NY 14063-1127
Phone 716-673-3203 · Fax 716-673-3235
Mailing address
280 Central AveW123 Thompson Hall
Fredonia, NY 14063-1127
Phone 716-673-3203 · Fax 716-673-3235
Authorized official
Michael D Metzger
Vp Finance & Admin
7166733109
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