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NPI Code Detail

MEDICARE: DR. ERIN M WALBORN AU.D.

MEDICARE:  DR. ERIN M WALBORN  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
1231H00000XAudiologist001566-1NY
2237600000XAudiologist-Hearing Aid Fitter001566-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120-1672788OTHERNYNYS EMPIRE PLAN/UH
220-1672788OTHERNYCHAMPUS/TRICARE
3000490164002OTHERNYBS OF NENY
4411525OTHERNYMVP
5M7441OTHERNYEMPIRE BC/BS
610023791OTHERNYCDPHP
737602OTHERNYGHI/HMO & PPO

General Provider Information

NPI Number : 1316932932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN M WALBORN AU.D.
Provider Business Mailing Address
First Line : 2 EMPIRE DR
Second Line : SUITE 204
City : RENSSELAER
State : NY
Zip : 12144-5730
Country : US
Telephone Number : 518-283-6111
Fax Number : 518-283-6161
Provider Business Practice Location Address
First Line : 2 EMPIRE DR
Second Line : SUITE 204
City : RENSSELAER
State : NY
Zip : 12144-5730
Country : US
Telephone Number : 518-283-6111
Fax Number : 518-283-6161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 10/05/2022

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Directions to “ DR. ERIN M WALBORN AU.D.” Practice Location

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