Provider Demographics
NPI:1962685032
Name:THE HEARING CENTER OF LONG ISLAND, INC
Entity Type:Organization
Organization Name:THE HEARING CENTER OF LONG ISLAND, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LEISTER
Authorized Official - Last Name:SENZER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:631-462-9300
Mailing Address - Street 1:384 LARKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-3527
Mailing Address - Country:US
Mailing Address - Phone:631-462-9300
Mailing Address - Fax:631-266-9300
Practice Address - Street 1:384 LARKFIELD RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-3527
Practice Address - Country:US
Practice Address - Phone:631-462-9300
Practice Address - Fax:631-266-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000648261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
M24231Medicare UPIN