Healthcare Provider Details

I. General information

NPI: 1366781635
Provider Name (Legal Business Name): HBC SUTTON HEARING AND BALANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 05/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E 57TH ST APT 1A
NEW YORK NY
10022-2855
US

IV. Provider business mailing address

235 E 57TH ST APT 1A
NEW YORK NY
10022-2855
US

V. Phone/Fax

Practice location:
  • Phone: 212-644-1445
  • Fax:
Mailing address:
  • Phone: 212-644-1445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number001072-1
License Number StateNY

VIII. Authorized Official

Name: APRIL GERACI
Title or Position: ASSISTANT CONTROLLER
Credential:
Phone: 888-720-7980