Provider Demographics
NPI:1407387889
Name:THUNDER HEARING SERVICES LLC
Entity Type:Organization
Organization Name:THUNDER HEARING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-830-4296
Mailing Address - Street 1:450 WILLIAM FLOYD PKWY
Mailing Address - Street 2:STE B
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-3480
Mailing Address - Country:US
Mailing Address - Phone:631-830-4296
Mailing Address - Fax:
Practice Address - Street 1:450 WILLIAM FLOYD PKWY
Practice Address - Street 2:STE B
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-3480
Practice Address - Country:US
Practice Address - Phone:631-830-4296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty