Doctor Name: | MR. DARYLE SCOTT CONLIN |
NPI Number: | 1083981328 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 14000011872 |
Business Practice Address: | 2440 Riverfront Ctr Amsterdam, NY - 120104612 |
Business Phone Number: | 5182105440 |
Business Fax Number: | |
Mailing Address: | 2440 Riverfront Ctr, AMSTERDAM |
State: | NY |
Postal Code: | 120104612 |
Phone Number: | 5182105440 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 14000011872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |