Provider Demographics
NPI:1689353898
Name:ABG FAMILY HEARING, LLC
Entity Type:Organization
Organization Name:ABG FAMILY HEARING, LLC
Other - Org Name:THE HEARING AID SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-425-4764
Mailing Address - Street 1:125 BARRINGTON RD N
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-2243
Mailing Address - Country:US
Mailing Address - Phone:607-425-4764
Mailing Address - Fax:
Practice Address - Street 1:7760 ROUTE 417 W
Practice Address - Street 2:
Practice Address - City:BOLIVAR
Practice Address - State:NY
Practice Address - Zip Code:14715-9602
Practice Address - Country:US
Practice Address - Phone:585-928-1657
Practice Address - Fax:585-928-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies