Provider Demographics
NPI:1922032440
Name:JUDLOWITZ, SHARON (AUD)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:JUDLOWITZ
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 1:560 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5113
Mailing Address - Country:US
Mailing Address - Phone:914-984-2534
Mailing Address - Fax:914-235-1896
Practice Address - Street 1:145 HUGUENOT ST
Practice Address - Street 2:SUITE 610
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5200
Practice Address - Country:US
Practice Address - Phone:914-235-1888
Practice Address - Fax:914-235-1896
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001188-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM00781Medicare ID - Type Unspecified