Provider Demographics
NPI:1861771172
Name:ACOUSTICON HASKILL INC.
Entity type:Organization
Organization Name:ACOUSTICON HASKILL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HASKILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-342-1080
Mailing Address - Street 1:255 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5704
Mailing Address - Country:US
Mailing Address - Phone:201-342-1080
Mailing Address - Fax:201-342-3464
Practice Address - Street 1:255 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5704
Practice Address - Country:US
Practice Address - Phone:201-342-1080
Practice Address - Fax:201-342-3464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0781606Medicaid