MEDICARE: HEARITE AUDIOLOGICAL SERVICES PLLC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	1381-1	NY

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	138430101	OTHER	NY	HEALTH PLUS
2	2205539	OTHER		AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5C3975	OTHER	NY	HEALTH NET
5	P1868136	OTHER	NY	OXFORD
6	2542110	OTHER	NY	UNITED HEALTH CARE
7	4899936	OTHER		GHI
8	BK0227901	OTHER	NY	AMERICHOICE
9	M90101	OTHER		EMPIRE

NPI Number	:	1215197140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARITE AUDIOLOGICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	1410 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3243
Country	:	US
Telephone Number	:	718-853-4327
Fax Number	:	718-853-1754

Provider Business Practice Location Address
First Line	:	1410 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3243
Country	:	US
Telephone Number	:	718-853-4327
Fax Number	:	718-853-1754

Authorized Official
Title or Position	:	AUDIOLOGIST
Name	:	MIRIAM KAUFMAN
Credential	:
Telephone Number	:	718-853-4327

Provider Enumeration Date	:	06/13/2008
Last Update Date	:	04/26/2017

1404 48TH ST
BROOKLYN, NY
11219-3243

Practice Phone: 718-972-8888
Practice Fax: 718-972-1639