MEDICARE: HBC SUTTON HEARING AND BALANCE 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	231H00000X	Audiologist	001072-1	NY

General Provider Information

NPI Number	:	1366781635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HBC SUTTON HEARING AND BALANCE LLC

Provider Business Mailing Address
First Line	:	235 E 57TH ST APT 1A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-2855
Country	:	US
Telephone Number	:	212-644-1445
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 E 57TH ST APT 1A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-2855
Country	:	US
Telephone Number	:	212-644-1445
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT CONTROLLER
Name	:	APRIL GERACI
Credential	:
Telephone Number	:	888-720-7980

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	05/03/2013

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