Provider Demographics
NPI:1164198404
Name:HEAR AT HOME AUDIOLOGY LLC
Entity Type:Organization
Organization Name:HEAR AT HOME AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-731-8828
Mailing Address - Street 1:108 HIGHPOINT AVE
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-5603
Mailing Address - Country:US
Mailing Address - Phone:201-731-8828
Mailing Address - Fax:
Practice Address - Street 1:108 HIGHPOINT AVE
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-5603
Practice Address - Country:US
Practice Address - Phone:201-731-8828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty