MEDICARE: DR. PETER CHARLES LORING AU.D

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	001725	NY

General Provider Information

NPI Number	:	1245232511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER CHARLES LORING AU.D

Provider Business Mailing Address
First Line	:	777 LARKFIELD RD STE 108
Second Line	:
City	:	COMMACK
State	:	NY
Zip	:	11725-3136
Country	:	US
Telephone Number	:	631-543-4327
Fax Number	:	631-543-3735

Provider Business Practice Location Address
First Line	:	777 LARKFIELD RD
Second Line	:	SUITE 108
City	:	COMMACK
State	:	NY
Zip	:	11725-3136
Country	:	US
Telephone Number	:	631-543-4327
Fax Number	:	631-543-3735

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	05/30/2024

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