Provider Demographics
NPI:1508839663
Name:HEARING EVALUATION SERVICES OF BUFFALO, INC.
Entity Type:Organization
Organization Name:HEARING EVALUATION SERVICES OF BUFFALO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ORSENE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:716-833-4488
Mailing Address - Street 1:4600 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4500
Mailing Address - Country:US
Mailing Address - Phone:716-833-4488
Mailing Address - Fax:716-839-1218
Practice Address - Street 1:4600 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4500
Practice Address - Country:US
Practice Address - Phone:716-833-4488
Practice Address - Fax:716-839-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001216-1231H00000X
NY000942-1231H00000X
NY001607-0231H00000X
NY001936-1231H00000X
NY000884-1231H00000X
NY001726-1231H00000X
NY001800-1231H00000X
NY002144-1231H00000X
NY002056-1231H00000X
NY002306-1231H00000X
NY002416-1231H00000X
NY002483-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000580000003OtherBC/BS - HEARING AID - H
NY9200301OtherIHA
NY00011176701OtherUNIVERA
NY000580000005OtherBC/BS - HEARING AID - OP
NY000580000005OtherBC/BS - HEARING AID - OP