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General NPI Number Information
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NPI Number | 1275668089
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Entity Type | Organization
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Legal Business Name | ADVANCED HEARING AID CENTERS OF CNY, INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 662 S MAIN ST SUITE 1
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City | CENTRAL SQUARE
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State | NY
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Zip | 13036-3524
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Country | US
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Telephone | 315-676-1041
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Fax | 315-676-1047
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Provider Business Mailing Address
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Address Line | PO BOX 817 662 MAIN STREET, SUITE 1
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City | CENTRAL SQUARE
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State | NY
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Zip | 13036-0817
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Country | US
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Telephone | 315-676-1041
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Fax | 315-676-1047
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT D. DEMARTINO II
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Credential | BC-HIS
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Telephone | 315-676-1041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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