MEDICARE: PCL HEARING SERVICES LLC

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	237600000X	Audiologist-Hearing Aid Fitter	15000014671	NY

General Provider Information

NPI Number	:	1902984859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PCL HEARING SERVICES LLC

Provider Business Mailing Address
First Line	:	777 LARKFIELD RD STE 108
Second Line	:
City	:	COMMACK
State	:	NY
Zip	:	11725-3136
Country	:	US
Telephone Number	:	631-543-4327
Fax Number	:	631-543-3735

Provider Business Practice Location Address
First Line	:	777 LARKFIELD RD
Second Line	:	SUITE 108
City	:	COMMACK
State	:	NY
Zip	:	11725-3136
Country	:	US
Telephone Number	:	631-543-4327
Fax Number	:	631-543-3735

Authorized Official
Title or Position	:	OWNER
Name	:	PETER CHARLES LORING
Credential	:
Telephone Number	:	516-445-0345

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	05/30/2024

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