Provider Demographics
NPI:1770841009
Name:PCL HEARING SERVICES OF NEW YORK, LLC
Entity Type:Organization
Organization Name:PCL HEARING SERVICES OF NEW YORK, LLC
Other - Org Name:AUDIONICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-224-6100
Mailing Address - Street 1:515 MADISON AVE
Mailing Address - Street 2:SUITE 2302
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5403
Mailing Address - Country:US
Mailing Address - Phone:212-755-5100
Mailing Address - Fax:212-421-0889
Practice Address - Street 1:515 MADISON AVE
Practice Address - Street 2:SUITE 2302
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5403
Practice Address - Country:US
Practice Address - Phone:212-755-5100
Practice Address - Fax:212-421-0889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty