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NPI Code Detail

MEDICARE: MR. THOMAS GUY NARDELLA HEARING AID DISPENSE

MEDICARE:  MR. THOMAS GUY NARDELLA  HEARING AID DISPENSE
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
1174400000XSpecialist719725NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1150000012327OTHERNYHEARING AID DISPENSER

General Provider Information

NPI Number : 1851412282
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS GUY NARDELLA HEARING AID DISPENSE
Provider Business Mailing Address
First Line : 13 SOUTH ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-3657
Country : US
Telephone Number : 315-252-1728
Fax Number : 315-252-4445
Provider Business Practice Location Address
First Line : 13 SOUTH ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-3657
Country : US
Telephone Number : 315-252-1728
Fax Number : 315-252-4445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

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Directions to “ MR. THOMAS GUY NARDELLA HEARING AID DISPENSE” Practice Location

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