NPI 1578705299 · live from the CMS NPI Registry
Deborah J. Backus, AuD
Audiologist in Queensbury, NY. National Provider Identifier 1578705299, active.
NPI record
| NPI | 1578705299 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 25 Willowbrook Rd, Suite 1, Queensbury, NY 12804 |
| Practice phone | 518-926-2064 |
| Mailing address | 100 Park St, Glens Falls, NY 12801 |
| Enumerated | March 26, 2009 |
| Last updated | March 26, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 0013161 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.