Provider Demographics
NPI:1902984859
Name:PCL HEARING SERVICES LLC
Entity Type:Organization
Organization Name:PCL HEARING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LORING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-354-6458
Mailing Address - Street 1:12 BROCKTON RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2124
Mailing Address - Country:US
Mailing Address - Phone:845-354-6458
Mailing Address - Fax:845-354-5128
Practice Address - Street 1:777 LARKFIELD RD
Practice Address - Street 2:SUITE 108
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3136
Practice Address - Country:US
Practice Address - Phone:631-543-4327
Practice Address - Fax:631-543-3735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000014671237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM01451Medicare UPIN