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Individual

DR. SUSAN RUTH HOLLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
105 MARYS AVE, DEPARTMENT OF AUDIOLOGY, KINGSTON, NY 12401-5848
(845) 334-3121
(845) 334-4789
Mailing address
105 MARYS AVE, DEPT OF AUDIOLOGY, KINGSTON, NY 12401-5848
(845) 334-3121
(845) 334-4789

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000949
NY
237600000X
Audiologist-Hearing Aid Fitter
140000021026
NY

Other

Enumeration date
05/23/2005
Last updated
10/05/2009
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