National Provider Identifier Database

MARIA T MIDDLEBY, MS CCCA NY STATE LIC – NPI #1619018876
Assistive Technology Supplier


Contact Information

MARIA T MIDDLEBY, MS CCCA NY STATE LIC
624 BLACK RIVER BLVD
ROME, NY13440-4326
Phone: 315-336-7250
Fax: 315-336-7254
Website:
Specialty Taxonomy Code
* Assistive Technology Supplier 231HA2500X
Audiologist 231H00000X

* Indicates primary specialty

NPI Profile & details for MARIA T MIDDLEBY

NPI Number 1619018876
Credentials MS CCCA NY STATE LIC
Entity Individual
Enumeration date 02/09/2007
Last updated 03/20/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 000784
  • NY License #: 14000005549
  • NY Medicaid: 01140050
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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