Provider Demographics
NPI:1184609166
Name:RASIN, JUDY B (AUD)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:B
Last Name:RASIN
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 1:1934 WILLIAMSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1605
Mailing Address - Country:US
Mailing Address - Phone:718-822-4100
Mailing Address - Fax:718-224-8395
Practice Address - Street 1:1934 WILLIAMSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1605
Practice Address - Country:US
Practice Address - Phone:718-822-4100
Practice Address - Fax:718-224-8395
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00487231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist