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General NPI Number Information
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NPI Number | 1093399677
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Entity Type | Organization
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Legal Business Name | ROOSEVELT FIELD HEARING CORPORATION
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 585 STEWART AVE STE LL26
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City | GARDEN CITY
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State | NY
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Zip | 11530-4739
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Country | US
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Telephone | 516-228-8730
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Fax | 516-228-8728
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Provider Business Mailing Address
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Address Line | 585 STEWART AVE STE LL26
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City | GARDEN CITY
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State | NY
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Zip | 11530-4739
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Country | US
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Telephone | 516-228-8730
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Fax | 516-228-8730
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MICHELLE MORRISSEY MATYKO
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Credential | AUD
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Telephone | 516-228-8730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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