NPIMap

Organization Active NPI

Southern Tier Hearing Services PLLC

  • Audiologist
  • Vestal, NY
National Provider Identifier
1104151703
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002018-1 Issued in NY
Legal business name
SOUTHERN TIER HEARING SERVICES PLLC
Practice address
231 Main St
Suite 1
Vestal, NY 13850-1523
Phone
(607) 205-1041
Fax
(607) 239-5156
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Ari Glaser, M.S.
Title
Audiologist/Owner
Phone
(607) 205-1041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 002018-1 NY Primary

Addresses

Primary practice location

231 Main St
Suite 1
Vestal, NY 13850-1523

Mailing address

231 Main St
Suite 1
Vestal, NY 13850-1523
Phone (607) 205-1041

National Provider Directory

National Provider Directory

Locations

231 Main St
Ste 1
Vestal, NY 13850
Phone (607) 205-1041

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1104151703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAIN ST",
            "address_2": "SUITE 1",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501523",
            "telephone_number": "607-205-1041",
            "fax_number": "607-239-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAIN ST",
            "address_2": "SUITE 1",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501523",
            "telephone_number": "607-205-1041",
            "fax_number": "607-239-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER HEARING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ARI",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "607-205-1041",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002018-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.