Provider Demographics
NPI:1780970103
Name:NEWMAN, SUSAN HOWE (AUD)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:HOWE
Last Name:NEWMAN
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 1:468 TITUS AVE.
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-3541
Mailing Address - Country:US
Mailing Address - Phone:585-266-4130
Mailing Address - Fax:585-266-4532
Practice Address - Street 1:468 TITUS AVE.
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-3541
Practice Address - Country:US
Practice Address - Phone:585-266-4130
Practice Address - Fax:585-266-4532
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00899-1231H00000X
NY0008991231H00000X
NY14000067464237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter