Provider Demographics
NPI:1417086083
Name:HEARING AND SPEECH ASSOCIATES, INC.
Entity Type:Organization
Organization Name:HEARING AND SPEECH ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:516-432-1800
Mailing Address - Street 1:120 W PARK AVE
Mailing Address - Street 2:SUITE 3J
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3301
Mailing Address - Country:US
Mailing Address - Phone:516-432-1800
Mailing Address - Fax:516-432-0421
Practice Address - Street 1:120 W PARK AVE
Practice Address - Street 2:SUITE 3J
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3301
Practice Address - Country:US
Practice Address - Phone:516-432-1800
Practice Address - Fax:516-432-0421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000083-1237600000X
NY000052-1237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM0W011Medicare ID - Type Unspecified