Basic Information
| Provider Information | |||||||||
| NPI: | 1528107877 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BRONX HEARING ASSOCIATES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1953 GRAND AVE | ||||||||
| Address2: | |||||||||
| City: | NORTH BALDWIN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115102820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166233700 | ||||||||
| FaxNumber: | 5166233305 | ||||||||
| Practice Location | |||||||||
| Address1: | 326-8 E 149TH ST | ||||||||
| Address2: | ST BARNABUS SOUTH MEDICAL CENTER | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104515602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185856100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ASHINOFF | ||||||||
| AuthorizedOfficialFirstName: | STEPHEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5166233700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332S00000X | 000058 | NY | Y | Suppliers | Hearing Aid Equipment |
No ID Information.