Provider Demographics
NPI:1124329552
Name:VENEZIANO, MARGOT ADRIENNE (AUD)
Entity type:Individual
Prefix:MRS
First Name:MARGOT
Middle Name:ADRIENNE
Last Name:VENEZIANO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:MARGOT
Other - Middle Name:ADRIENNE
Other - Last Name:STEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:PO BOX 406153
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-1876
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 E POST RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4959
Practice Address - Country:US
Practice Address - Phone:914-328-2879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002272231H00000X
NY14000030568237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist