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Individual

DR. SHARON LEE AXELROD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
51 ROUTE 23 SOUTH, RIVERDALE, NJ 07457
(973) 831-1220
(973) 831-0029
Mailing address
51 ROUTE 23 SOUTH, RIVERDALE, NJ 07457
(973) 831-1220
(973) 831-0029

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
000851-1
NY
231H00000X
Audiologist
Primary
41YA00044500
NJ
231HA2500X
Assistive Technology Supplier Audiologist
14000006177
NY
231HA2500X
Assistive Technology Supplier Audiologist
MG00753
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01179602
NY
Enumeration date
12/20/2006
Last updated
04/03/2019
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