| Organization Name: | TETER AUDIOLOGY, HEARING AID DISPENSING AND ELECTRONICS, PC |
| NPI Number: | 1215170220 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JARED GIFFORD TETER (PRESIDENT) |
| Mailing Address: | 21 Willow Pond Way Suite 110 Penfield |
| State: | NY US |
| Postal Code: | 145262687 |
| Phone Number: | 5854217039 |
| Fax Number: | 5853881180 |
| NPI Enumeration Date: | 04/07/2009 |
| NPI Last Update Date: | 04/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | 001959 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Hearing Aid Equipment |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |