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Individual

DR. PETER WILLIAM HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
468 TITUS AVE, ROCHESTER, NY 14617-3541
(585) 266-4130
(585) 266-4532
Mailing address
468 TITUS AVE, ROCHESTER, NY 14617-3541
(585) 266-4130
(585) 266-4532

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00002436-1
NY
237600000X
Audiologist-Hearing Aid Fitter
14000036042
NY
237700000X
Hearing Instrument Specialist
14000036042
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
161163165
TAX ID
NY
Enumeration date
10/15/2012
Last updated
10/15/2012
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