MEDICARE: DR. JULIE B. O'SHEA 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	231H00000X	Audiologist	000619-1	NY
2	231HA2400X	Assistive Technology Practitioner Audiologist	000619-1	NY
3	231HA2500X	Assistive Technology Supplier Audiologist	000619-1	NY
4	237600000X	Audiologist-Hearing Aid Fitter	14000006037	NY

General Provider Information

NPI Number	:	1578569547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE B. O'SHEA AU.D.

Provider Business Mailing Address
First Line	:	22 BARLOW LN
Second Line	:
City	:	RYE
State	:	NY
Zip	:	10580-2243
Country	:	US
Telephone Number	:	914-835-3629
Fax Number	:

Provider Business Practice Location Address
First Line	:	785 MAMARONECK AVE
Second Line	:	BLDG 4
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2523
Country	:	US
Telephone Number	:	914-949-0034
Fax Number	:

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	09/11/2025

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