Individual
MS. SUSAN TRACEY PECKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
47 CEDAR ST, KINGS PARK, NY 11754-2509
(631) 269-3426
Mailing address
430 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-8910
(718) 347-8241
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
989-1
NY
237600000X
Audiologist-Hearing Aid Fitter
14000005288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
989-1
AUDIOLOGY LICENCE
NY
Enumeration date
04/01/2008
Last updated
04/01/2008
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