Healthcare Provider Details

I. General information

NPI: 1427076496
Provider Name (Legal Business Name): HEARING HELP ASSOC., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 FRANCIS LEWIS BLVD
BAYSIDE NY
11361-2573
US

IV. Provider business mailing address

4205 FRANCIS LEWIS BLVD
BAYSIDE NY
11361-2573
US

V. Phone/Fax

Practice location:
  • Phone: 718-460-3100
  • Fax: 718-939-0248
Mailing address:
  • Phone: 718-460-3100
  • Fax: 718-939-0248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number15000000982
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number15000000982
License Number StateNY

VIII. Authorized Official

Name: MS. ALICIA SGAMBATI
Title or Position: BILLING OFFICE MANAGER
Credential:
Phone: 516-605-0360