Individual
DR. DOMINICK SERVEDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGY PC
Contact information
Practice address
200 W 57TH ST, SUITE 910, NEW YORK, NY 10019-3211
(917) 441-6094
(917) 441-6102
Mailing address
200 W 57TH ST, SUITE 910, NEW YORK, NY 10019-3211
(917) 441-6094
(917) 441-6102
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
1080
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160570P
HIP
NY
01
—
174255
ELDERPLAN
NY
01
—
200211575
MAGNACARE
NY
01
—
241110
UNITED HEALTH CARE
NY
01
—
3C4625
HEALTHNET
NY
01
—
801141
HEALTH FIRST
NY
01
—
P-12043249
MULTIPLAN
NY
01
—
P3028736
OXFORD
NY
01
—
SD1080
ATLANTIS
NY
Enumeration date
05/24/2005
Last updated
10/29/2010
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