Organization
SUSAN BOGGIA AUDIOLOGY, PC
Active
Other names
LKE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN BOGGIA AU.D. (OWNER)
(518) 798-4800
Entity
Organization
Contact information
Practice address
318 RIDGE ST, GLENS FALLS, NY 12801-1506
(518) 798-4800
(518) 798-4900
Mailing address
318 RIDGE ST, GLENS FALLS, NY 12801-1506
(518) 798-4800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00413681001
HEALTH NOW
—
01
—
080318000032
FIDELIS
—
01
—
1613948
GHI
—
01
—
2751396
UNITED HEALTH CARE
—
01
—
M77121
EMPIRE BLUECROSS BLUESHIELD
—
Enumeration date
02/07/2007
Last updated
12/27/2010
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