Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 231H00000X | Audiologist | | 00860 | NEW YORK | No |
| 2 | 237600000X | Audiologist-Hearing Aid Fitter | | 14000004612 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | M0830P | OTHER | NEW YORK | HIP |
| 2 | 37077 | OTHER | NEW YORK | GHI HMO |
| 3 | 3C1369 | OTHER | NEW YORK | HEALTH NET |
| 4 | 100051671601 | OTHER | NEW YORK | UNITEDHEALTHCARE MEDICAID |
| 5 | 2306807 003 | OTHER | NEW YORK | CIGNA MEDICARE |
| 6 | BK0046601 | OTHER | NEW YORK | AMERICHOICE |
| 7 | 137077 | OTHER | NEW YORK | WELLCARE |
| 8 | 4899768 | OTHER | NEW YORK | GHI |
| 9 | 161820 | OTHER | NEW YORK | ELDERPLAN GROUP # |
| 10 | 2306807 004 | OTHER | NEW YORK | CIGNA |
| 11 | 64000311 | OTHER | NEW YORK | RAILROAD MEDICARE |
| 12 | 00000516716 | OTHER | NEW YORK | UNITED HEALTHCARE |
| 13 | 5539430 | OTHER | NEW YORK | AETNA |
| 14 | 632040 | OTHER | NEW YORK | ONE HEALTH PLAN |
| 15 | KS209 | OTHER | NEW YORK | OXFORD |
| 16 | M04201 | OTHER | NEW YORK | BLUE CROSS BLUE SHIELD |
| 17 | 730000860NY01 | OTHER | NEW YORK | ANTHEM |
| 18 | P-53902391 | OTHER | NEW YORK | MULTI-PLAN |
