Individual
DR. SUSAN S. DEBRUYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
3513 THOMAS DR STE 2, LAKEVILLE, NY 14480-9759
(585) 243-7690
(585) 346-7582
Mailing address
3513 THOMAS DR STE 2, LAKEVILLE, NY 14480-9759
(585) 243-7690
(585) 346-7582
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1451
NY
332S00000X
Hearing Aid Equipment
14000010429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640004655
RAILROAD MEDICARE
—
01
—
7700242
MVP HEALTHCARE
—
01
—
7882382
AETNA
—
01
—
82564
EXCELLUS BCBS
—
Enumeration date
08/15/2005
Last updated
05/31/2024
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