MEDICARE: ADVANCED HEARING CENTERS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	14000016559	NY
2	174400000X	Specialist	15000010938	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DD7629	OTHER	NY	RAIL ROAD MEDICARE GRP. #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80124000005812	OTHER	NY	BC/BS OF MICHIGAN GROUP #
2	G0184171590	OTHER	NY	EXCELLUS GROUP #

General Provider Information

NPI Number	:	1427003730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEARING CENTERS

Provider Business Mailing Address
First Line	:	1100 LONG POND RD
Second Line	:	SUITE 110
City	:	ROCHESTER
State	:	NY
Zip	:	14626-1154
Country	:	US
Telephone Number	:	585-225-1100
Fax Number	:	585-225-1112

Provider Business Practice Location Address
First Line	:	1100 LONG POND RD
Second Line	:	SUITE 110
City	:	ROCHESTER
State	:	NY
Zip	:	14626-1154
Country	:	US
Telephone Number	:	585-225-1100
Fax Number	:	585-225-1112

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANDREW F. MORABITO
Credential	:	BC-HIS
Telephone Number	:	585-225-1100

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	01/28/2011

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Directions to “ADVANCED HEARING CENTERS ” Practice Location

Language	Start Address	Practice Location

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