Provider Demographics
NPI:1629412754
Name:ALK HEARING LLC
Entity Type:Organization
Organization Name:ALK HEARING LLC
Other - Org Name:HEARING TECHNOLOGIES CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AVIVA
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:KAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:516-295-9054
Mailing Address - Street 1:8715 37TH AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7701
Mailing Address - Country:US
Mailing Address - Phone:718-507-5200
Mailing Address - Fax:718-507-7879
Practice Address - Street 1:8715 37TH AVE
Practice Address - Street 2:SUITE D
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7701
Practice Address - Country:US
Practice Address - Phone:718-507-5200
Practice Address - Fax:718-507-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001536261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech