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NPI Code Detail

MEDICARE: KRISTOPHER J ROOKEY HIS

MEDICARE: KRISTOPHER J ROOKEY HIS
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
1237700000XHearing Instrument Specialist1400045262NY

General Provider Information

NPI Number : 1891347753
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTOPHER J ROOKEY HIS
Provider Business Mailing Address
First Line : 168 W 9TH ST
Second Line :
City : OSWEGO
State : NY
Zip : 13126-2430
Country : US
Telephone Number : 315-532-3477
Fax Number :
Provider Business Practice Location Address
First Line : 45 1/2 W BRIDGE ST
Second Line :
City : OSWEGO
State : NY
Zip : 13126-2024
Country : US
Telephone Number : 315-532-3477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 07/11/2019

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Directions to “ KRISTOPHER J ROOKEY HIS” Practice Location

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