Provider Demographics
NPI:1487059937
Name:SYRACUSE HEARING AID CENTERS
Entity type:Organization
Organization Name:SYRACUSE HEARING AID CENTERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-452-1600
Mailing Address - Street 1:903 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:N SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-1664
Mailing Address - Country:US
Mailing Address - Phone:315-452-1600
Mailing Address - Fax:315-452-1616
Practice Address - Street 1:903 N MAIN ST
Practice Address - Street 2:
Practice Address - City:N SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-1664
Practice Address - Country:US
Practice Address - Phone:315-452-1600
Practice Address - Fax:315-452-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000019747332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment