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Individual

JOANNA ROUFOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D,CCC-A

Contact information

Practice address
15012 14TH AVE, SUITE 200, WHITESTONE, NY 11357-1800
(718) 279-4327
(718) 279-1281
Mailing address
15012 14TH AVE, SUITE 200, WHITESTONE, NY 11357-1800
(718) 279-4327
(718) 279-1281

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001479-1
NY
237600000X
Audiologist-Hearing Aid Fitter
14000022298
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03164174
NY
Enumeration date
07/22/2008
Last updated
02/25/2013
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