Provider Demographics
NPI:1730210071
Name:BELTONE HEARING CENTER OF NY
Entity type:Organization
Organization Name:BELTONE HEARING CENTER OF NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-300-9512
Mailing Address - Street 1:606 N FRENCH RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2108
Mailing Address - Country:US
Mailing Address - Phone:716-568-8061
Mailing Address - Fax:716-568-8062
Practice Address - Street 1:3701 MCKINLEY PKWY
Practice Address - Street 2:
Practice Address - City:BLASDELL
Practice Address - State:NY
Practice Address - Zip Code:14219-2695
Practice Address - Country:US
Practice Address - Phone:716-826-0850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000017187237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY186880AJOtherPREFERRED CARE