Diversified Services For Occupational Therapy, Physical Ther
Audiologist
2900 Delaware Ave, Kenmore
New York, 14217-2309
716-871-9883 716-871-9887
Diversified Services For Occupational Therapy, Physical Ther is a Audiologist in Kenmore, New York. It is located at 2900 Delaware Ave, Kenmore and it's customer support contact number is 716-871-9883. The authorized person of Diversified Services For Occupational Therapy, Physical Ther is Dr. Salvatore Gruttadauria, AU.D. who is President-ceo of this DME and his contact number is 716-871-9883. Active license number of Diversified Services For Occupational Therapy, Physical Ther is 001149 for Audiologist in New York. Diversified Services For Occupational Therapy, Physical Ther accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Diversified Services For Occupational Therapy, Physical Ther is (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
DME Supplier Details:
Diversified Services For Occupational Therapy, Physical Ther type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Diversified Services For Occupational Therapy, Physical Ther |
| Type: | Audiologist |
| Location: | 2900 Delaware Ave, Kenmore,
New York, 14217-2309 |
| Phone: | 716-871-9883 |
| Fax: | 716-871-9887 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Salvatore Gruttadauria |
| Credentials: | AU.D. |
| Position: | President-ceo |
| Contact Number: | 716-871-9883 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1447283882 |
| NPI Enumeration Date: | 09 Jul, 2006 |
| NPI Last Update On: | 04 May, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diversified Services For Occupational Therapy, Physical Ther are as mentioned below.
| Specialization | License Number | State | Status | |
| Audiologist | 001149 | New York | Primary | |
| Speech-language Pathologist | 000846 | New York | Secondary | |
| Oxygen Equipment & Supplies | | | Secondary | |
| Hearing Aid Equipment | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02671290 | Medicaid | New York | |
| 02700365 | Medicaid | New York | |
| 02690875 | Medicaid | New York | |
| 01806404 | Medicaid | New York | |
| 02690884 | Medicaid | New York | |
| 02667421 | Medicaid | New York | |
Medicare Enrollment:
Diversified Services For Occupational Therapy, Physical Ther is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0143204917 | O20050805000553 | Diversified Services For Occupational Therapy Physical Ther | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2900 Delaware Ave,
Kenmore, New York |
| Zip: | 14217-2309 |
| Phone Number: | 716-871-9883 |
| Fax Number: | 716-871-9887 |
Patients can reach Diversified Services For Occupational Therapy, Physical Ther at
2900 Delaware Ave, Kenmore, New York or can
call on customer care at 716-871-9883.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.