Individual
DR. THERESE DEIERLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
34 E 67TH ST, SUITE #4F, NEW YORK, NY 10065-6119
(212) 628-2710
(212) 628-3580
Mailing address
250 FORT LEE RD, STE #C, AUDIOLOGY 2000 INC, TEANECK, NJ 07666-3904
(212) 628-2710
(212) 628-3580
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0010601
NY
231H00000X
Audiologist
41YA00028200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000044420
AFFINITY HEALTH PLANS
—
01
—
2394820
UNITED HEALTHCARE
—
01
—
3C5894
HEALTHNET
—
01
—
4899742
GHI
—
01
—
6988043
CIGNA
—
01
—
M73741
EMPIRE BC/BS
—
01
—
P3163299
OXFORD
—
Enumeration date
11/02/2005
Last updated
08/19/2013
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