1417288549 NPI number — QUALITY OF LIFE HEARING SOLUTIONS, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417288549 NPI number — QUALITY OF LIFE HEARING SOLUTIONS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY OF LIFE HEARING SOLUTIONS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417288549
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
581 STATE ROUTE 17M
Provider Second Line Business Mailing Address:
SUITE 8
Provider Business Mailing Address City Name:
MONROE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10950
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-238-5514
Provider Business Mailing Address Fax Number:
845-238-5516

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SEARS HEARING AID CENTER
Provider Second Line Business Practice Location Address:
5200 KINGS PLAZA
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-252-4244
Provider Business Practice Location Address Fax Number:
718-252-4251
Provider Enumeration Date:
01/29/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BOCHTERLE
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
845-238-5514

Provider Taxonomy Codes

  • Taxonomy code: 237600000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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