Provider Demographics
NPI:1114993557
Name:KEN-TON HEARING, P.C.
Entity Type:Organization
Organization Name:KEN-TON HEARING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LICHTENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:716-874-1609
Mailing Address - Street 1:3306 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-1723
Mailing Address - Country:US
Mailing Address - Phone:716-874-1609
Mailing Address - Fax:716-874-4977
Practice Address - Street 1:3306 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-1723
Practice Address - Country:US
Practice Address - Phone:716-874-1609
Practice Address - Fax:716-874-4977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001558237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC7887Medicare ID - Type Unspecified
NYS36035Medicare UPIN