Provider Demographics
NPI:1922253301
Name:BAUMRIN, REBECCA THONET (AUD, CCC-A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:THONET
Last Name:BAUMRIN
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:THONET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, CCC-A, FAAA
Mailing Address - Street 1:1175 PARK AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1211
Mailing Address - Country:US
Mailing Address - Phone:212-996-2995
Mailing Address - Fax:212-996-2703
Practice Address - Street 1:1175 PARK AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1211
Practice Address - Country:US
Practice Address - Phone:212-996-2995
Practice Address - Fax:212-996-2703
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00075300231H00000X
NY002395231H00000X
NJ25MG00119700237600000X
NY14000044180237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter