Healthcare Provider Details

I. General information

NPI: 1851963268
Provider Name (Legal Business Name): HOME HEARING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 MADISON AVE
NEW YORK NY
10022-3301
US

IV. Provider business mailing address

555 MADISON AVE
NEW YORK NY
10022-3301
US

V. Phone/Fax

Practice location:
  • Phone: 917-383-2232
  • Fax:
Mailing address:
  • Phone: 917-383-2232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: LISAMARIE APONTE
Title or Position: DIRECTOR OF REVENUE
Credential:
Phone: 305-965-5322