Healthcare Provider Details

I. General information

NPI: 1215983150
Provider Name (Legal Business Name): ENHANCED HEARING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W PARK AVE
LONG BEACH NY
11561-3317
US

IV. Provider business mailing address

108 W PARK AVE
LONG BEACH NY
11561-3317
US

V. Phone/Fax

Practice location:
  • Phone: 516-763-3277
  • Fax: 516-431-7490
Mailing address:
  • Phone: 516-736-3277
  • Fax: 516-431-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number15000024720
License Number StateNY

VIII. Authorized Official

Name: KAREN RENICK
Title or Position: OWNER
Credential:
Phone: 516-763-3277