Healthcare Provider Details

I. General information

NPI: 1215197140
Provider Name (Legal Business Name): HEARITE AUDIOLOGICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 04/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 48TH ST
BROOKLYN NY
11219-3243
US

IV. Provider business mailing address

1410 48TH ST
BROOKLYN NY
11219-3243
US

V. Phone/Fax

Practice location:
  • Phone: 718-853-4327
  • Fax: 718-853-1754
Mailing address:
  • Phone: 718-853-4327
  • Fax: 718-853-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1381-1
License Number StateNY

VIII. Authorized Official

Name: MIRIAM KAUFMAN
Title or Position: AUDIOLOGIST
Credential:
Phone: 718-853-4327