Organization
55 SANDALWOOD ENTERPRISES INC
Active
Other names
The Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G CARR (OWNER)
(631) 284-2299
Entity
Organization
Contact information
Practice address
3400 BAINBRIDGE AVE, 3RD FLOOR, BRONX, NY 10467
(718) 920-4333
(718) 547-2907
Mailing address
818 E MAIN ST, RIVERHEAD, NY 11901-2563
(631) 284-2299
(631) 284-2305
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2527580
—
NY
01
—
M8W601
MEDICARE PTAN
NY
Enumeration date
06/20/2007
Last updated
09/13/2013
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