| Audslp Diagnostic And Rehabilitation Clinic | |
|
One Broadway Suite 302 Elmwood Park NJ 07407 | |
| (201) 773-8962 | |
| (201) 773-8963 |
| Full Name | Audslp Diagnostic And Rehabilitation Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | One Broadway, Elmwood Park, New Jersey |
| Authorized Official Name and Position | Dolores Boisselle (AUDIOLOGIST) |
| Authorized Official Contact | 9739039314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Audslp Diagnostic And Rehabilitation Clinic One Broadway Suite 302 Elmwood Park NJ 07407 Ph: (201) 773-8962 | Audslp Diagnostic And Rehabilitation Clinic One Broadway Suite 302 Elmwood Park NJ 07407 Ph: (201) 773-8962 |
| NPI Number | 1891092755 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 4587833264 |
|---|---|
| Medicare Enrollment ID | O20110815000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891092755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New Jersey) | Primary |
| Provider Name | Dolores Boisselle |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851535934 PECOS PAC ID: 8921277609 Enrollment ID: I20110815000464 |
| Provider Name | Kimberly Zurla |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750816492 PECOS PAC ID: 2961771605 Enrollment ID: I20170712000079 |
| Provider Name | Nicole C Friedman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013539220 PECOS PAC ID: 1153740493 Enrollment ID: I20201006000978 |
| Provider Name | Ashley A Brown |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013624717 PECOS PAC ID: 1052786134 Enrollment ID: I20230403000554 |
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