National Provider Identifier

Angela Moltrup, AU.D.

Angela Moltrup, AU.D. is listed in the NPPES registry with a primary specialty of Audiologist in Ithaca, NY and a listed phone number of (607) 266-0772.

NPI 1174074512Ithaca, NYAudiologist

Profile Overview

NPI
1174074512
Provider Type
Individual
Primary Specialty
Audiologist
Enumeration Date
October 20, 2016
Last Updated
October 04, 2023

Practice Location

  • 2 Ascot Pl
  • Ithaca, NY 14850-1072

Phone: (607) 266-0772

Specialties

  • Audiologist (231H00000X)
Full Record
NPI
1174074512
Entity Type
Individual
Last Name
Moltrup
First Name
Angela
Credential
AU.D.
Provider Other Last Name
Crast
Provider Other First Name
Angela
Provider Other Credential Text
AU.D., CCC-A
Provider Other Last Name Type Code
1
Mailing Street Address
2 Ascot Pl
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1072
Mailing Country
US
Mailing Phone
(607) 266-0772
Practice Street Address
2 Ascot Pl
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1072
Practice Country
US
Practice Phone
(607) 266-0772
Enumeration Date
October 20, 2016
Last Updated
October 04, 2023
Sex
Female
Sole Proprietor
No
Certification Date
October 04, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Audiologist (231H00000X)