Dr Millicent Rose Peterson, AUD, CCC-A | |
30 Matthews St Ste 203, Goshen, NY 10924-1985 | |
(845) 294-8544 | |
Not Available |
Full Name | Dr Millicent Rose Peterson |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 30 Matthews St Ste 203, Goshen, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164197570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 41YA00115300 (New Jersey) | Secondary |
231H00000X | Audiologist | 003037-01 (New York) | Primary |
Provider Name | Hudson Valley Audiology Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841624517 PECOS PAC ID: 9739315003 Enrollment ID: O20131114000765 |
Mailing Address | Practice Location Address |
---|---|
Dr Millicent Rose Peterson, AUD, CCC-A 55 Terrace Ln, Blauvelt, NY 10913-1333 Ph: (845) 709-7167 | Dr Millicent Rose Peterson, AUD, CCC-A 30 Matthews St Ste 203, Goshen, NY 10924-1985 Ph: (845) 294-8544 |
Elaine Bochnovich, MACCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2 Fletcher St, Goshen, NY 10924 Phone: 845-294-8806 Fax: 845-294-8650 | |
Jackie Lynn Chiger, MSCCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2 Fletcher St, Goshen, NY 10924 Phone: 845-294-8806 Fax: 845-294-8650 | |
Dr. Deborah J Lynn, PH.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 30 Matthews St, Suite 307, Goshen, NY 10924 Phone: 845-294-8544 Fax: 845-294-3117 | |
Lynn Audiology And Hearing Aid Services Pc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 30 Matthews St., Suite 307, Goshen, NY 10924 Phone: 845-294-8544 Fax: 845-294-3117 |