Middleby, Maria Theresa

Middleby, Maria Theresa is an individual health care provider with primary practice located at 624 Black River Blvd , Rome NY 13440-4326. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Assistive Technology Supplier is her primary health care specialty. Middleby, Maria Theresa can be contacted via phone (315) 336-7250.

Contact Information

Primary practice address
624 Black River Blvd Rome NY 13440-4326
Phone: (315) 336-7250
Fax: (315) 336-7254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 14000005549 New York
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 000784 New York

Profile Details

NPI number 1619018876
LBN Legal business name Middleby, Maria Theresa
Credentials MS CCCA NY STATE LIC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Mar 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619018876 NPPES
New York MEDICAID 01140050

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