Individual
ELAINE BOCHNOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000425
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02716223
—
NY
01
—
10042519
CDPHP
NY
01
—
87765
GHI
NY
01
—
9Y3011
EMPIREBLUECROSSBLUESHIELD
NY
Enumeration date
12/01/2006
Last updated
06/06/2019
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