Individual
MR. ROBERT M PIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-A
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 664-8194
(716) 664-8418
Mailing address
PO BOX 840, JAMESTOWN, NY 14702-0840
(716) 664-8194
(716) 664-8418
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000209-1
NY
237600000X
Audiologist-Hearing Aid Fitter
14000011100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000209-1
NYS AUDIOLOGIST LICENSE
NY
01
—
14000011100
NYS HEARING AID DISPENSER
NY
Enumeration date
08/05/2008
Last updated
08/05/2008
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