Healthcare Provider Details

I. General information

NPI: 1417288549
Provider Name (Legal Business Name): QUALITY OF LIFE HEARING SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 01/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SEARS HEARING AID CENTER 5200 KINGS PLAZA
BROOKLYN NY
11234
US

IV. Provider business mailing address

581 STATE ROUTE 17M SUITE 8
MONROE NY
10950
US

V. Phone/Fax

Practice location:
  • Phone: 718-252-4244
  • Fax: 718-252-4251
Mailing address:
  • Phone: 845-238-5514
  • Fax: 845-238-5516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. PAUL BOCHTERLE
Title or Position: OWNER
Credential: BC-HIS
Phone: 845-238-5514