# INTEGRATED FAMILY HEARING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Petruso Audiology of Courdersport, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720489511
- **Authorized official:** DR. ROBERT W PETRUSO II AU.D. (OWNER)
- **Authorized official phone:** (814) 720-1692

## Contact information

- **Practice address:** 536 E 2ND ST, COUDERSPORT, PA 16915-9438
- **Practice address phone:** (814) 274-9097
- **Practice address fax:** (814) 274-0464
- **Mailing address:** 536 E 2ND ST, COUDERSPORT, PA 16915-9438
- **Mailing address phone:** (814) 274-9097
- **Mailing address fax:** (814) 274-0464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2014
- **Last updated:** 01/05/2015
