Healthcare Provider Details

I. General information

NPI: 1245476233
Provider Name (Legal Business Name): BLEICH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2008
Last Update Date: 12/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 W STATE ST
OLEAN NY
14760-3361
US

IV. Provider business mailing address

1909 W STATE ST
OLEAN NY
14760-3361
US

V. Phone/Fax

Practice location:
  • Phone: 716-372-2671
  • Fax: 716-373-4540
Mailing address:
  • Phone: 716-372-2671
  • Fax: 716-373-4540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number15000016345
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DEBORAH LYNN BLEICH
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 716-832-7203