1952541377 NPI number — HEARING & REHABILITATION SERVICES OF LONG ISLAND LLC

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 1952541377 NPI number — HEARING & REHABILITATION SERVICES OF LONG ISLAND LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING & REHABILITATION SERVICES OF LONG ISLAND LLC
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:
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:
1952541377
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/25/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 MADISON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JERICHO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11753-1423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-702-7070
Provider Business Mailing Address Fax Number:
516-939-6188

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8285 JERICHO TPKE
Provider Second Line Business Practice Location Address:
(@OPTICS PLUS)
Provider Business Practice Location Address City Name:
WOODBURY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11797-1807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-224-4320
Provider Business Practice Location Address Fax Number:
516-939-6188
Provider Enumeration Date:
02/25/2009

Additional Information

Authorized Official

Authorized Official Last Name:
STEINBERG
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
G
Authorized Official Title or Position:
OWNER/AUDIOLOGIST
Authorized Official Telephone Number:
516-702-7070

Provider Taxonomy Codes

  • Taxonomy code: 237600000X , with the licence number:  15000009729 , 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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