Provider Demographics
NPI:1275668089
Name:ADVANCED HEARING AID CENTERS OF CNY, INC.
Entity Type:Organization
Organization Name:ADVANCED HEARING AID CENTERS OF CNY, INC.
Other - Org Name:ROBERT D. DEMARTINO
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:DEMARTINO
Authorized Official - Suffix:II
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:315-676-1041
Mailing Address - Street 1:PO BOX 817
Mailing Address - Street 2:662 MAIN STREET, SUITE 1
Mailing Address - City:CENTRAL SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:13036-0817
Mailing Address - Country:US
Mailing Address - Phone:315-676-1041
Mailing Address - Fax:315-676-1047
Practice Address - Street 1:662 S MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CENTRAL SQUARE
Practice Address - State:NY
Practice Address - Zip Code:13036-3524
Practice Address - Country:US
Practice Address - Phone:315-676-1041
Practice Address - Fax:315-676-1047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment