Provider Demographics
NPI:1265627673
Name:HEARING HEALTH ASSOC., P.C.
Entity type:Organization
Organization Name:HEARING HEALTH ASSOC., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRESLAU
Authorized Official - Suffix:
Authorized Official - Credentials:AU
Authorized Official - Phone:516-221-2390
Mailing Address - Street 1:2866 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5726
Mailing Address - Country:US
Mailing Address - Phone:516-221-2390
Mailing Address - Fax:516-221-2395
Practice Address - Street 1:176 NORTH VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3800
Practice Address - Country:US
Practice Address - Phone:516-678-1804
Practice Address - Fax:516-678-0445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING HEALTH ASSOC.,P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-10
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000000982237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM04692Medicare UPIN
NYM9W292Medicare UPIN
M90011Medicare UPIN
NYM04692Medicare PIN