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NPI Code Detail

MEDICARE: MELANIE HERZFELD, AU.D. AUDIOLOGIST PC

MEDICARE: MELANIE HERZFELD, AU.D. AUDIOLOGIST PC
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
1231H00000XAudiologist000134NY

General Provider Information

NPI Number : 1386823433
Entity Type Code : Organization
Provider Name (Legal Business Name) : MELANIE HERZFELD, AU.D. AUDIOLOGIST PC
Provider Business Mailing Address
First Line : 113 CROSSWAYS PARK DR
Second Line : SUITE 101
City : WOODBURY
State : NY
Zip : 11797-2044
Country : US
Telephone Number : 516-364-0011
Fax Number : 516-364-0013
Provider Business Practice Location Address
First Line : 113 CROSSWAYS PARK DR
Second Line : SUITE 101
City : WOODBURY
State : NY
Zip : 11797-2044
Country : US
Telephone Number : 516-364-0011
Fax Number : 516-364-0013
Authorized Official
Title or Position : AUDIOLOGIST, PRESIDENT
Name : DR. MELANIE E HERZFELD
Credential : AU.D.
Telephone Number : 516-364-0011
Provider Enumeration Date : 10/25/2007
Last Update Date : 01/18/2012

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