Healthcare Provider Details

I. General information

NPI: 1801216056
Provider Name (Legal Business Name): THE VISITING AUDIOLOGISTS OF WESTCHESTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 04/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 HAMILTON AVE STE 1102
WHITE PLAINS NY
10601-1807
US

IV. Provider business mailing address

445 HAMILTON AVE STE 1102
WHITE PLAINS NY
10601-1807
US

V. Phone/Fax

Practice location:
  • Phone: 914-420-0064
  • Fax:
Mailing address:
  • Phone: 914-420-0064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number002427-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number14000035943
License Number StateNY

VIII. Authorized Official

Name: AISLING C RUBAS
Title or Position: OWNER / AUDIOLOGIST
Credential: AU.D.
Phone: 914-420-0064