| Organization Name: | PARK RIDGE HEARING CENTER |
| NPI Number: | 1396780656 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN CRANDALL (SPECIALIST) |
| Mailing Address: | 121 Erie Canal Dr Suite E Rochester |
| State: | NY US |
| Postal Code: | 146264605 |
| Phone Number: | 5852279920 |
| Fax Number: | 5852256574 |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | 15000007423 |
| 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. |