Healthcare Provider Details

I. General information

NPI: 1841431509
Provider Name (Legal Business Name): HEAR 2 LEARN PLLC AUDIOLOGY AND SPEECH/LANGUAGE PATHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6575 KIRKVILLE RD
EAST SYRACUSE NY
13057-9809
US

IV. Provider business mailing address

6575 KIRKVILLE RD
EAST SYRACUSE NY
13057-9809
US

V. Phone/Fax

Practice location:
  • Phone: 315-701-5710
  • Fax:
Mailing address:
  • Phone: 315-701-5710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number StateNY
# 8
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY
# 9
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateNY
# 10
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number001673
License Number StateNY

VIII. Authorized Official

Name: DR. ARLENE BALESTRA-MARKO
Title or Position: MANAGING MEMBER
Credential: AU.D
Phone: 315-701-5710