MEDICARE: PROFESSIONAL HEARING SOLUTIONS, 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	237600000X	Audiologist-Hearing Aid Fitter	14000016523	NY

General Provider Information

NPI Number	:	1760582035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL HEARING SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	6385 STATE ROUTE 96
Second Line	:	SUITE 220
City	:	VICTOR
State	:	NY
Zip	:	14564-1411
Country	:	US
Telephone Number	:	585-398-1210
Fax Number	:	585-398-1212

Provider Business Practice Location Address
First Line	:	6385 STATE ROUTE 96
Second Line	:	SUITE 220
City	:	VICTOR
State	:	NY
Zip	:	14564-1411
Country	:	US
Telephone Number	:	585-398-1210
Fax Number	:	585-398-1212

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTINE ANNE STEIN
Credential	:	AU.D
Telephone Number	:	585-398-1210

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	08/22/2020

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