Healthcare Provider Details

I. General information

NPI: 1124388392
Provider Name (Legal Business Name): ADVANCED HEARING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 05/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 EMPIRE BLVD SUITE 220
WEBSTER NY
14580-1957
US

IV. Provider business mailing address

1100 LONG PONO RD SUITE 110
ROCHESTER NY
14626-1154
US

V. Phone/Fax

Practice location:
  • Phone: 585-216-1080
  • Fax: 585-671-1403
Mailing address:
  • Phone: 585-225-1100
  • Fax: 585-225-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number15000010938
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number14000016559
License Number StateNY

VIII. Authorized Official

Name: MR. ANDREW F. MORABITO
Title or Position: OWNER
Credential: BC-HIS
Phone: 585-225-1100