Provider Demographics
NPI:1578023552
Name:HEARING INSTRUMENT SERVICE
Entity Type:Organization
Organization Name:HEARING INSTRUMENT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLIA
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:516-978-0069
Mailing Address - Street 1:3457 EDGERTON AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2940
Mailing Address - Country:US
Mailing Address - Phone:516-978-0069
Mailing Address - Fax:
Practice Address - Street 1:3457 EDGERTON AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2940
Practice Address - Country:US
Practice Address - Phone:516-978-0069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty