Provider Demographics
NPI:1205067287
Name:ADVANCED HEARING LTD
Entity type:Organization
Organization Name:ADVANCED HEARING LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOFFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:516-581-9981
Mailing Address - Street 1:26910 GRAND CENTRAL PKWY
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11005-1045
Mailing Address - Country:US
Mailing Address - Phone:718-352-0548
Mailing Address - Fax:718-514-7403
Practice Address - Street 1:26910 GRAND CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11005-1045
Practice Address - Country:US
Practice Address - Phone:718-352-0548
Practice Address - Fax:718-514-7403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM2W981OtherPTAN