MEDICARE: DR. SHEILA M DALZELL 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	369	NY
2	231HA2400X	Assistive Technology Practitioner Audiologist	369	NY
3	231HA2500X	Assistive Technology Supplier Audiologist	369	NY
4	237600000X	Audiologist-Hearing Aid Fitter	369	NY

General Provider Information

NPI Number	:	1841286598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILA M DALZELL AU.D.

Provider Business Mailing Address
First Line	:	2561 LAC DE VILLE BLVD
Second Line	:	SUITE 101
City	:	ROCHESTER
State	:	NY
Zip	:	14618-5645
Country	:	US
Telephone Number	:	585-461-9192
Fax Number	:	585-461-9196

Provider Business Practice Location Address
First Line	:	2561 LAC DE VILLE BLVD
Second Line	:	SUITE 101
City	:	ROCHESTER
State	:	NY
Zip	:	14618-5645
Country	:	US
Telephone Number	:	585-461-9192
Fax Number	:	585-461-9196

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	09/11/2025

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