Healthcare Provider Details

I. General information

NPI: 1801251699
Provider Name (Legal Business Name): AUDIOLOGY ASSOCIATES OF WESTCHESTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 MAMARONECK AVE STE 407
HARRISON NY
10528-1609
US

IV. Provider business mailing address

550 MAMARONECK AVE STE 407
HARRISON NY
10528-1609
US

V. Phone/Fax

Practice location:
  • Phone: 914-949-0034
  • Fax:
Mailing address:
  • Phone: 914-949-0034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number15000025541
License Number StateNY

VIII. Authorized Official

Name: MS. ALICIA RIVERA
Title or Position: BILLING MANAGER
Credential:
Phone: 914-949-0034