Organization
WEST PENN HEARING & AUDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERRY CONSTANTINO BS HIS BA (OWNER)
(724) 282-3250
Entity
Organization
Contact information
Practice address
125 WHITESTOWN RD, LYNDORA, PA 16045
(724) 282-3250
(724) 282-3796
Mailing address
125 WHITESTOWN RD, LYNDORA, PA 16045
(724) 282-3250
(724) 282-3796
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
F02999
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1351961
SELECT BLUE
PA
01
—
293301
SECURITY BLUE
PA
Enumeration date
07/26/2006
Last updated
08/22/2020
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