MEDICARE: DR. JUDY B RASIN AUD

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	231H00000X	Audiologist	00487	NY

General Provider Information

NPI Number	:	1184609166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDY B RASIN AUD

Provider Business Mailing Address
First Line	:	1934 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1605
Country	:	US
Telephone Number	:	718-822-4100
Fax Number	:	718-224-8395

Provider Business Practice Location Address
First Line	:	1934 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1605
Country	:	US
Telephone Number	:	718-822-4100
Fax Number	:	718-224-8395

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	01/21/2010

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