Individual
SUSAN ANN TERRANOVA ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
52 BIOMEDICAL EDUCATION BUILDING, BUFFALO, NY 14214-8016
(716) 829-3980
(716) 829-3974
Mailing address
52 BIOMEDICAL EDUCATION BUILDING, BUFFALO, NY 14214-8016
(716) 829-3980
(716) 829-3974
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0009191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011240404
UNIVERA GROUP
—
01
—
000576077003
BC CB ADV SB
—
01
—
9210117
INDEPENDENT HEALTH
—
01
—
AA1308
GROUP
—
Enumeration date
12/20/2005
Last updated
07/08/2007
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