National Provider Identifier

Nikita Maru, M.ASLP, CCC-A

Nikita Maru, M.ASLP, CCC-A is listed in the NPPES registry with a primary specialty of Audiologist in Rochester, NY and a listed phone number of (585) 227-9920.

NPI 1376654574Rochester, NYAudiologist

Profile Overview

NPI
1376654574
Provider Type
Individual
Primary Specialty
Audiologist
Enumeration Date
August 31, 2006
Last Updated
July 08, 2007

Practice Location

  • 121 Erie Canal Dr
  • Suite E
  • Rochester, NY 14626-4605

Phone: (585) 227-9920

Mailing Address

  • 167 Greystone Ln
  • Apt # 15
  • Rochester, NY 14618-4938

Specialties

  • Audiologist (231H00000X)
Full Record
NPI
1376654574
Entity Type
Individual
Last Name
Maru
First Name
Nikita
Name Prefix
MS.
Credential
M.ASLP, CCC-A
Mailing Street Address
167 Greystone Ln
Mailing Address Line 2
Apt # 15
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-4938
Mailing Country
US
Mailing Phone
(585) 271-3508
Practice Street Address
121 Erie Canal Dr
Practice Address Line 2
Suite E
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4605
Practice Country
US
Practice Phone
(585) 227-9920
Enumeration Date
August 31, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Audiologist (231H00000X)