Riverdale Audiology PLLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0007321 Issued in NY

Legal business name

RIVERDALE AUDIOLOGY PLLC

Practice address

3050 Corlear Ave
Suite 202
Bronx, NY 10463-5180

Phone

(718) 543-4333

Fax

(718) 543-4334

NPI assigned

Jul 10, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Flora Ingalls Holderbaum, AU.D

Title

Audiologist

Phone

(718) 543-4333

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1346681053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CORLEAR AVE",
            "address_2": "SUITE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635180",
            "telephone_number": "718-543-4333",
            "fax_number": "718-543-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CORLEAR AVE",
            "address_2": "SUITE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635180",
            "telephone_number": "718-543-4333",
            "fax_number": "718-543-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "HOLDERBAUM",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "INGALLS",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "718-543-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0007321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02474537",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lee Rivera
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• Zulma E Rivera, M.S.ED.
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• Riverdale Dental Care

• Audiologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.