Organization
LONG ISLAND QUEEN HEARING ASSO INC
Active
Organization
LONG ISLAND QUEEN HEARING ASSO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ASHINOFF OD (OWNER)
(516) 623-3700
Entity
Organization
Contact information
Practice address
856 DEKALB AVE, BROOKLYN, NY 11221-1402
(855) 423-3700
(631) 499-3062
Mailing address
1953 GRAND AVE, NORTH BALDWIN, NY 11510-2820
(516) 623-3700
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
15000027793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15000027793
NYS HEARING AID DISPENSE LICENSE
NY
Enumeration date
06/08/2018
Last updated
06/08/2018
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