Provider Demographics
NPI:1346421757
Name:SENZER, DEBORAH (AUD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:SENZER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 CAMBRIDGE AVE
Mailing Address - Street 2:RM 103
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4235
Mailing Address - Country:US
Mailing Address - Phone:516-877-4850
Mailing Address - Fax:516-877-4865
Practice Address - Street 1:158 CAMBRIDGE AVE RM 103
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4235
Practice Address - Country:US
Practice Address - Phone:516-877-4850
Practice Address - Fax:516-877-4865
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1102231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist