Healthcare Provider Details

I. General information

NPI: 1811174949
Provider Name (Legal Business Name): KAREN BETH DEJOY M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 BELMONT AVE
SCHENECTADY NY
12308-2104
US

IV. Provider business mailing address

1270 BELMONT AVE
SCHENECTADY NY
12308-2104
US

V. Phone/Fax

Practice location:
  • Phone: 518-382-4550
  • Fax: 518-382-4551
Mailing address:
  • Phone: 518-382-4550
  • Fax: 518-382-4551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number001445-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number001445-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number001445-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: