Provider Demographics
NPI:1417080557
Name:BELTONE HEARING AIDS OF SCHENECTADY INC
Entity Type:Organization
Organization Name:BELTONE HEARING AIDS OF SCHENECTADY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GIBSON
Authorized Official - Last Name:BOURGEOIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:518-456-1030
Mailing Address - Street 1:1855 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-5026
Mailing Address - Country:US
Mailing Address - Phone:518-456-1030
Mailing Address - Fax:518-456-1130
Practice Address - Street 1:1855 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-5026
Practice Address - Country:US
Practice Address - Phone:518-456-1030
Practice Address - Fax:518-456-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000013605332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment