Provider Demographics
NPI:1427003730
Name:ADVANCED HEARING CENTERS
Entity Type:Organization
Organization Name:ADVANCED HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:F
Authorized Official - Last Name:MORABITO
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:585-225-1100
Mailing Address - Street 1:1100 LONG POND RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-1154
Mailing Address - Country:US
Mailing Address - Phone:585-225-1100
Mailing Address - Fax:585-225-1112
Practice Address - Street 1:1100 LONG POND RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-1154
Practice Address - Country:US
Practice Address - Phone:585-225-1100
Practice Address - Fax:585-225-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000010938174400000X
NY14000016559332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY80124000005812OtherBC/BS OF MICHIGAN GROUP #
NYG0184171590OtherEXCELLUS GROUP #
NYDD7629OtherRAIL ROAD MEDICARE GRP. #
NY80124000005812OtherBC/BS OF MICHIGAN GROUP #