Individual
SUSAN BOGGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
318 RIDGE ST, GLENS FALLS, NY 12801-1506
(518) 798-4800
(518) 798-4900
Mailing address
318 RIDGE ST, GLENS FALLS, NY 12801-1506
(518) 798-4800
(518) 798-4900
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
192
NY
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00413681001
BLUE SHIELD OF NENY
—
01
—
080318000032
FIDELIS
—
01
—
1613948
GHI
—
01
—
M77121
EMPIRE BLUE CROSS BLUE SHIELD
—
Enumeration date
02/06/2007
Last updated
12/27/2010
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