Healthcare Provider Details

I. General information

NPI: 1902984859
Provider Name (Legal Business Name): PCL HEARING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 LARKFIELD RD SUITE 108
COMMACK NY
11725-3136
US

IV. Provider business mailing address

777 LARKFIELD RD STE 108
COMMACK NY
11725-3136
US

V. Phone/Fax

Practice location:
  • Phone: 631-543-4327
  • Fax: 631-543-3735
Mailing address:
  • Phone: 631-543-4327
  • Fax: 631-543-3735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number15000014671
License Number StateNY

VIII. Authorized Official

Name: PETER CHARLES LORING
Title or Position: OWNER
Credential:
Phone: 516-445-0345