| Doctor Name: | DR. SUSAN S. DEBRUYNE |
| NPI Number: | 1023010550 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AU.D |
| License Number: | 1451 |
| Business Practice Address: | 50 E South St Suite 400a Geneseo, NY - 144541300 |
| Business Phone Number: | 5852437690 |
| Business Fax Number: | 5852439208 |
| Mailing Address: | 50 E South St, Suite 400a GENESEO |
| State: | NY |
| Postal Code: | 144541300 |
| Phone Number: | 5852437690 |
| Fax Number: | 5852439208 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 11/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | 1451 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Hearing Aid Equipment |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |