Provider Demographics
NPI:1215115514
Name:BELTONE ALBANY
Entity type:Organization
Organization Name:BELTONE ALBANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-568-8061
Mailing Address - Street 1:606 N FRENCH RD STE 1
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2107
Mailing Address - Country:US
Mailing Address - Phone:716-568-8061
Mailing Address - Fax:
Practice Address - Street 1:1116 ARSENAL ST STE 502
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-2229
Practice Address - Country:US
Practice Address - Phone:315-785-8310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty