Healthcare Provider Details

I. General information

NPI: 1205756079
Provider Name (Legal Business Name): REBECCA ALEA GAZZE AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160-08 CROSS BAY BLVD
HOWARD BEACH NY
11414
US

IV. Provider business mailing address

160-08 CROSS BAY BLVD
HOWARD BEACH NY
11414
US

V. Phone/Fax

Practice location:
  • Phone: 329-205-5183
  • Fax: 718-659-0517
Mailing address:
  • Phone: 329-205-5183
  • Fax: 718-659-0517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number003382
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: