Organization
AUDIOLOGY BALANCE DIAGNOSTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLESIA IVANUTENKO (AU.D.)
(732) 801-6984
Entity
Organization
Contact information
Practice address
50 BRIGHTON 1ST RD, 15L, BROOKLYN, NY 11235
(732) 801-6984
Mailing address
50 BRIGHTON 1ST RD, 15L, BROOKLYN, NY 11235
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002270
NY
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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