MEDICARE: ADVANCED HEARING LTD

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	231H00000X	Audiologist		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M2W981	OTHER	NY	PTAN

General Provider Information

NPI Number	:	1205067287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEARING LTD

Provider Business Mailing Address
First Line	:	26910 GRAND CENTRAL PKWY
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11005-1045
Country	:	US
Telephone Number	:	718-352-0548
Fax Number	:	718-514-7403

Provider Business Practice Location Address
First Line	:	26910 GRAND CENTRAL PKWY
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11005-1045
Country	:	US
Telephone Number	:	718-352-0548
Fax Number	:	718-514-7403

Authorized Official
Title or Position	:	OWNER
Name	:	ALISON L HOFFMANN
Credential	:	AUD
Telephone Number	:	516-581-9981

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	07/21/2022

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Directions to “ADVANCED HEARING LTD ” Practice Location

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