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Organization

ROME HEARING CLINIC

Active
Other names
Rome Hearing Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA THERESA MIDDLEBY MS-CCC-A (AUDIOLOGIST/OWNER)
(315) 336-7250
Entity
Organization

Contact information

Practice address
624 BLACK RIVER BLVD N, ROME, NY 13440-4326
(315) 336-7250
(315) 336-7254
Mailing address
624 BLACK RIVER BLVD N, ROME, NY 13440-4326
(315) 336-7250
(315) 336-7254

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
784
NY
237600000X
Audiologist-Hearing Aid Fitter
984
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01140050
NY
05
01164089
NY
Enumeration date
08/29/2007
Last updated
08/29/2007
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