Individual provider · Type 1 NPI
Maria Theresa Middleby, MS CCCA NY STATE LIC
Assistive Technology Supplier Audiologist · Rome, NY
NPI number
1619018876
Active
Practice location
624 Black River Blvd
Rome, NY 13440-4326
Fax (315) 336-7254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistive Technology Supplier Audiologist Primary | 231HA2500X | 14000005549 (NY) |
| Audiologist | 231H00000X | 000784 (NY) |
Assistive Technology Supplier Audiologist: Definition to come...
About NPI 1619018876
Maria Theresa Middleby, MS CCCA NY STATE LIC's National Provider Identifier is 1619018876, issued on Feb 9, 2007. The primary taxonomy on file is Assistive Technology Supplier Audiologist (231HA2500X), and the practice location is in Rome, NY. The record was last updated on Mar 20, 2023.