Mrs. Maria Theresa Middleby, MSCCCANYSTATELIC
Mrs. Maria Theresa Middleby, MSCCCANYSTATELIC is a Qualified Audiologist in Rome, New York. Qualified in 1983, 43 years ago. Accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 43
- Licensed in
- NY
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
624 Black River BlvdRome, NY 13440-4326
Phone: (315) 336-7250
Fax: (315) 336-7254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assistive Technology Supplier Audiologist (primary) | Taxonomy 231HA2500X · Licence 14000005549 (NY) |
|---|---|
| Audiologist | Taxonomy 231H00000X · Licence 000784 (NY) |
Record details
| NPI number | 1619018876 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSCCCANYSTATELIC |
| Sole proprietor | No |
| NPI enumerated | February 9, 2007 |
| Last updated in NPPES | March 20, 2023 |
| Certification date | March 20, 2023 |
Medicare enrollment
| Medicare specialty | QUALIFIED AUDIOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1983 (43 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |