National Provider Identifier

Carol Bass, MS

Carol Bass, MS is listed in the NPPES registry with a primary specialty of Audiologist in Ithaca, NY and a listed phone number of (607) 257-3903.

NPI 1922145341Ithaca, NYAudiologist

Profile Overview

NPI
1922145341
Provider Type
Individual
Primary Specialty
Audiologist
Enumeration Date
February 01, 2007
Last Updated
March 18, 2014

Practice Location

  • 200 Pleasant Grove RD
  • Ithaca, NY 14850-2664

Phone: (607) 257-3903

Specialties

  • Audiologist (231H00000X)
Full Record
NPI
1922145341
Entity Type
Individual
Last Name
Bass
First Name
Carol
Credential
MS
Mailing Street Address
200 Pleasant Grove RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-2664
Mailing Country
US
Mailing Phone
(607) 257-3903
Mailing Fax
(607) 266-8821
Practice Street Address
200 Pleasant Grove RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-2664
Practice Country
US
Practice Phone
(607) 257-3903
Practice Fax
(607) 266-8821
Enumeration Date
February 01, 2007
Last Updated
March 18, 2014
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Audiologist (231H00000X)
Other Identifiers
TF6975007 (NY, Tax Payer Id)