MEDICARE: DR. FLORENCE ELIZABETH THARMAN AU.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	001003	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10002038	OTHER	NY	CDPHP
2	20-1672788	OTHER	NY	UNITED HEALTHCARE
3	20-1672788	OTHER	NY	EMPIRE BC BS

General Provider Information

NPI Number	:	1124022181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLORENCE ELIZABETH THARMAN AU.D

Provider Business Mailing Address
First Line	:	43 NEW SCOTLAND AVE
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-3412
Country	:	US
Telephone Number	:	518-262-4919
Fax Number	:	518-262-8389

Provider Business Practice Location Address
First Line	:	43 NEW SCOTLAND AVE
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-3412
Country	:	US
Telephone Number	:	518-262-4918
Fax Number	:	518-262-8389

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	02/17/2012

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