MEDICARE: P&M HEARING AID CENTER INC

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	15000003727	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457380610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P&M HEARING AID CENTER INC

Provider Business Mailing Address
First Line	:	1670 E 17TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1258
Country	:	US
Telephone Number	:	718-627-2060
Fax Number	:	718-627-1951

Provider Business Practice Location Address
First Line	:	1670 E 17TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1258
Country	:	US
Telephone Number	:	718-627-2060
Fax Number	:	718-627-1951

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. PASQUALE A BOMBINO
Credential	:
Telephone Number	:	718-627-2060

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	07/21/2022

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