MEDICARE: BROOKLYN HEARING HEALTH ASSOC., PC

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	261QH0700X	Hearing and Speech Clinic/Center	000910	NY

General Provider Information

NPI Number	:	1316068034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKLYN HEARING HEALTH ASSOC., PC

Provider Business Mailing Address
First Line	:	1601 AVENUE Z
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3809
Country	:	US
Telephone Number	:	718-743-8223
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 AVENUE Z
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3809
Country	:	US
Telephone Number	:	718-743-8223
Fax Number	:

Authorized Official
Title or Position	:	AUDIOLOGIST
Name	:	MS. DAWN M VONBARGEN-WEINER
Credential	:	MA, FAAA
Telephone Number	:	718-743-8223

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	08/22/2020

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