National Provider Identifier

Susan S. Debruyne, AU.D

Susan S. Debruyne, AU.D is listed in the NPPES registry with a primary specialty of Audiologist in Lakeville, NY and a listed phone number of (585) 243-7690.

NPI 1023010550Lakeville, NYAudiologist

Profile Overview

NPI
1023010550
Provider Type
Individual
Primary Specialty
Audiologist
Enumeration Date
August 15, 2005
Last Updated
May 31, 2024

Practice Location

  • 3513 Thomas Dr Ste 2
  • Lakeville, NY 14480-9759

Phone: (585) 243-7690

Specialties

  • Audiologist (231H00000X)
  • Hearing Aid Equipment (332S00000X)
Full Record
NPI
1023010550
Entity Type
Individual
Last Name
Debruyne
First Name
Susan
Middle Name
S.
Name Prefix
Dr.
Credential
AU.D
Mailing Street Address
3513 Thomas Dr Ste 2
Mailing City
Lakeville
Mailing State
NY
Mailing ZIP Code
14480-9759
Mailing Country
US
Mailing Phone
(585) 243-7690
Mailing Fax
(585) 346-7582
Practice Street Address
3513 Thomas Dr Ste 2
Practice City
Lakeville
Practice State
NY
Practice ZIP Code
14480-9759
Practice Country
US
Practice Phone
(585) 243-7690
Practice Fax
(585) 346-7582
Enumeration Date
August 15, 2005
Last Updated
May 31, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
May 31, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Audiologist (231H00000X), Hearing Aid Equipment (332S00000X)
Other Identifiers
7700242 (Mvp Healthcare), 82564 (Excellus BCBS), 7882382 (Aetna), 640004655 (Railroad Medicare)