Provider Demographics
NPI:1437235975
Name:BENWAY, HAWORTH, LAWLOR, LACOSTA HEARING AIDS, INC.
Entity Type:Organization
Organization Name:BENWAY, HAWORTH, LAWLOR, LACOSTA HEARING AIDS, INC.
Other - Org Name:HEAR FOR YOU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS AND FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:518-435-1400
Mailing Address - Street 1:21 EVERETT RD EXT
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-3357
Mailing Address - Country:US
Mailing Address - Phone:518-435-1400
Mailing Address - Fax:518-435-0020
Practice Address - Street 1:21 EVERETT RD EXT
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-3357
Practice Address - Country:US
Practice Address - Phone:518-435-1400
Practice Address - Fax:518-435-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000013770332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment