Judy J. Schaeffler, M.S. AUDIOLOGY
Individual provider Active NPI Specialist · Pine City, NY
NPI 1376565697 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1376565697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1554 Mount Zoar Rd
Pine City, NY 14871-9545 - Phone
- (607) 734-2104
- Fax
- (607) 733-9558
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000208-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mathieu Audiology Services PC | Audiologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000208-1 | NY | |
| Specialist | 174400000X | NY | Yes |
Addresses
Primary practice location
1554 Mount Zoar Rd
Pine City, NY 14871-9545
Mailing address
1554 Mount Zoar Rd
Pine City, NY 14871-9545
Phone (607) 734-2104
Other providers in Pine City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.