Provider Demographics
NPI:1972143535
Name:PATERSON HEARING HEALTHCARE INC
Entity Type:Organization
Organization Name:PATERSON HEARING HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-341-4565
Mailing Address - Street 1:680 BROADWAY STE 510A
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-1530
Mailing Address - Country:US
Mailing Address - Phone:973-341-4565
Mailing Address - Fax:973-341-6566
Practice Address - Street 1:680 BROADWAY STE 510A
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-1530
Practice Address - Country:US
Practice Address - Phone:973-341-4565
Practice Address - Fax:973-341-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty