Provider Demographics
NPI:1346348208
Name:BONNIE RUBIN AUDIOLOGY OF RYE RIDGE, PLLC
Entity Type:Organization
Organization Name:BONNIE RUBIN AUDIOLOGY OF RYE RIDGE, PLLC
Other - Org Name:HEARING CENTER AT RYE RIDGE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:914-935-3292
Mailing Address - Street 1:118 S RIDGE ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2825
Mailing Address - Country:US
Mailing Address - Phone:914-935-3292
Mailing Address - Fax:914-935-3294
Practice Address - Street 1:118 S RIDGE ST
Practice Address - Street 2:SUITE 4
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2825
Practice Address - Country:US
Practice Address - Phone:914-935-3292
Practice Address - Fax:914-935-3294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty