| Amanda Raquel Rodriguez, AUD | |
|
11 Medical Park Dr Ste 205, Pomona, NY 10970-3560 | |
| (845) 362-1350 | |
| Not Available |
| Full Name | Amanda Raquel Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 11 Medical Park Dr Ste 205, Pomona, 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 |
|---|---|---|---|
| 1326756222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 00315201 (New York) | Secondary |
| 231H00000X | Audiologist | 003152 (New York) | Primary |
| Provider Name | Hudson Valley Audiology Pc |
|---|---|
| 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 |
|---|---|
| Amanda Raquel Rodriguez, AUD 11 Medical Park Dr Ste 205, Pomona, NY 10970-3560 Ph: (845) 362-1350 | Amanda Raquel Rodriguez, AUD 11 Medical Park Dr Ste 205, Pomona, NY 10970-3560 Ph: (845) 362-1350 |
Dr. Farah Dubaybo, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 11 Medical Park Dr Ste 205, Pomona, NY 10970 Phone: 845-362-1350 | |
Dr. Jeffrey Shannon, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11 Medical Park Dr Ste 205, Pomona, NY 10970 Phone: 845-362-1350 | |
Sophia Marie Patrikis, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11 Medical Park Dr Ste 205, Pomona, NY 10970 Phone: 845-362-1350 Fax: 845-362-1350 |