MEDICARE: SOUTHSIDE HEARING CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	1451	NY
2	231H00000X	Audiologist

General Provider Information

NPI Number	:	1043304157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHSIDE HEARING CENTER, LLC

Provider Business Mailing Address
First Line	:	3513 THOMAS DR STE 2
Second Line	:
City	:	LAKEVILLE
State	:	NY
Zip	:	14480-9759
Country	:	US
Telephone Number	:	585-243-7690
Fax Number	:

Provider Business Practice Location Address
First Line	:	3513 THOMAS DR STE 2
Second Line	:
City	:	LAKEVILLE
State	:	NY
Zip	:	14480-9759
Country	:	US
Telephone Number	:	585-243-7690
Fax Number	:	585-346-7582

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	KATHLEEN BRADY
Credential	:
Telephone Number	:	585-243-7690

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/30/2024

Similar Medicare Providers

1023010550 — DR. SUSAN S. DEBRUYNE AU.D
Practice Location Address:

3513 THOMAS DR STE 2
LAKEVILLE, NY
14480-9759

Practice Phone: 585-243-7690
Practice Fax: 585-346-7582

1851998405 — DR. KATELYN ELISE MURPHY AUD
Practice Location Address:

3513 THOMAS DR STE 2
LAKEVILLE, NY
14480-9759

Practice Phone: 585-243-7690
Practice Fax:

1699368670 — FAMILY DENTAL CARE OF LIVONIA PC
Practice Location Address:

3513 THOMAS DR STE 8
LAKEVILLE, NY
14480-9759

Practice Phone: 585-346-5220
Practice Fax: 585-346-5889

1609627124 — SHAY MARKOVITCH DENTISTRY, PLLC
Practice Location Address:

3513 THOMAS DR STE 8
LAKEVILLE, NY
14480-9759

Practice Phone: 585-346-5220
Practice Fax:

1063488948 — ANDREW V MATTLE PT
Practice Location Address:

3506 THOMAS DRIVE
LAKEVILLE, NY
14480

Practice Phone: 585-346-0060
Practice Fax: 585-346-0108

1740256627 — DAWN M MATTLE PT
Practice Location Address:

3506 THOMAS DRIVE
LAKEVILLE, NY
14480

Practice Phone: 585-346-0060
Practice Fax: 585-346-0108

Directions to “SOUTHSIDE HEARING CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.