Provider Demographics
NPI:1265617971
Name:PROFESSIONAL HEARING SOLUTIONS, INC.
Entity type:Organization
Organization Name:PROFESSIONAL HEARING SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:585-398-1210
Mailing Address - Street 1:1331 E VICTOR RD
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-9306
Mailing Address - Country:US
Mailing Address - Phone:585-398-1210
Mailing Address - Fax:585-398-1212
Practice Address - Street 1:1331 E VICTOR RD
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-9306
Practice Address - Country:US
Practice Address - Phone:585-398-1210
Practice Address - Fax:585-398-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000016523332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0691Medicare PIN