National Provider Identifier

Sally Ann Bacon, AUD

Sally Ann Bacon, AUD is listed in the NPPES registry with a primary specialty of Audiologist in Spencerport, NY and a listed phone number of (585) 352-2440.

NPI 1962478156Spencerport, NYAudiologist

Profile Overview

NPI
1962478156
Provider Type
Individual
Primary Specialty
Audiologist
Enumeration Date
February 27, 2006
Last Updated
October 15, 2011

Practice Location

  • 3599 Big Ridge RD
  • Spencerport, NY 14559-1709

Phone: (585) 352-2440

Mailing Address

  • 3599 Big Ridge RD.
  • Spencerport, NY 14559

Specialties

  • Audiologist (231H00000X)
Full Record
NPI
1962478156
Entity Type
Individual
Last Name
Bacon
First Name
Sally
Middle Name
Ann
Name Prefix
MS.
Credential
AUD
Mailing Street Address
3599 Big Ridge RD.
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559
Mailing Country
US
Mailing Phone
(585) 352-2440
Practice Street Address
3599 Big Ridge RD
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-1709
Practice Country
US
Practice Phone
(585) 352-2440
Enumeration Date
February 27, 2006
Last Updated
October 15, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Audiologist (231H00000X)