Provider Demographics
NPI:1821344078
Name:LI HEARING SERVICES INC
Entity Type:Organization
Organization Name:LI HEARING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MANTRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-222-1105
Mailing Address - Street 1:877 STEWART AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4803
Mailing Address - Country:US
Mailing Address - Phone:516-222-1105
Mailing Address - Fax:516-222-1161
Practice Address - Street 1:877 STEWART AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-222-1105
Practice Address - Fax:516-222-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000020737332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment