Provider Demographics
NPI:1598769556
Name:HARRIS, VICTORIA LYNN (AUD DOCTOR OF AUDI)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LYNN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:AUD DOCTOR OF AUDI
Other - Prefix:
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Mailing Address - Street 1:PO BOX 406153
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-1876
Mailing Address - Country:US
Mailing Address - Phone:518-272-7323
Mailing Address - Fax:518-272-7243
Practice Address - Street 1:HEARUSA
Practice Address - Street 2:2200 BURDETT AVE. , SUITE 105
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180
Practice Address - Country:US
Practice Address - Phone:518-272-7323
Practice Address - Fax:518-272-7243
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY001644237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB1798Medicare PIN