MEDICARE: TOTAL HEARING CARE

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	001542	NY

General Provider Information

NPI Number	:	1831436559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HEARING CARE

Provider Business Mailing Address
First Line	:	5528 MAIN ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-5044
Country	:	US
Telephone Number	:	718-461-4228
Fax Number	:	718-939-9877

Provider Business Practice Location Address
First Line	:	1019 OLYMPIA RD
Second Line	:
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-1938
Country	:	US
Telephone Number	:	718-461-4228
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF AUDIOLOGY
Name	:	DR. MARIE ZUMPONE-WEIBLEY
Credential	:	AUD
Telephone Number	:	718-461-4228

Provider Enumeration Date	:	01/15/2013
Last Update Date	:	01/15/2013

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