Individual
TERESA ROSE BOEMIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
219 OLD HOOK RD, WESTWOOD, NJ 07675-3131
(201) 666-8787
(201) 358-6686
Mailing address
333 W 57TH ST, SUITE 104, NEW YORK, NY 10019-3159
(201) 666-8787
(201) 358-6686
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
001120-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001120-1
LICENSE #
NY
01
—
14000013261
HEARING AID DISPENSING LICENSE
NY
Enumeration date
10/26/2008
Last updated
10/26/2008
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