Eastern Audiology Resources, LTD., PC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

EASTERN AUDIOLOGY RESOURCES, LTD., PC

Practice address

70 Glen St
Suite 100
Glen Cove, NY 11542-2855

Phone

(516) 674-9300

Fax

(516) 674-9345

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Bressi Hamilton, AUD,CCC

Title

Audiologist

Phone

(516) 674-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1275726911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GLEN ST",
            "address_2": "SUITE 100",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422855",
            "telephone_number": "516-674-9300",
            "fax_number": "516-674-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN ST",
            "address_2": "SUITE 100",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422855",
            "telephone_number": "516-674-9300",
            "fax_number": "516-674-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN AUDIOLOGY RESOURCES, LTD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BRESSI",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "516-674-9300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AUD,CCC"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01119199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.