Provider Demographics
NPI:1467533430
Name:COMMUNITY HEARING SERVICES LTD
Entity Type:Organization
Organization Name:COMMUNITY HEARING SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:W
Authorized Official - Last Name:GENDREAU
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCCA FAA
Authorized Official - Phone:585-335-3640
Mailing Address - Street 1:117 FRANKLIN STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437
Mailing Address - Country:US
Mailing Address - Phone:585-335-3640
Mailing Address - Fax:585-335-3667
Practice Address - Street 1:117 FRANKLIN STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:DANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14437
Practice Address - Country:US
Practice Address - Phone:585-335-3640
Practice Address - Fax:585-335-3667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0012791231H00000X
NY14000003425237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01304503Medicaid
=========OtherTAX ID
NY11804AMedicare ID - Type Unspecified