STATEN ISLAND AUDIOLOGY AND HEARING PC
Audiology at Todt Hill Rd, Staten Island, NY

License number
New York 001287-1
Category
Speech Language Pathology
Type
Audiologist
Owner
Name: TERESA L CANNON AU.D.
Title: PRESIDENT
Phone: (718) 816-1952
Address
Address
78 Todt Hill Rd SUITE 202, Staten Island, NY 10314
National Provider ID: 1336448380
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STATEN ISLAND AUDIOLOGY AND HEARING, PC

Staten Island, NY

Industry:
Health Practitioner's Office
Doing business as:
Inner Ear Institute<br>Staten Island Hring Blance Ctr
Registration:
Jan 3, 2011
Addresses:
4262 Richmond Ave, Staten Island, NY 10312 (Physical)
78 Todt Hl Rd, Staten Island, NY 10314
State ID:
4037101
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Aud, President:
Teresa Cannon (Aud, President), 4262 Richmond Ave, Staten Island, NY 10312 (Physical)

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