Individual
AVIVA KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
354 E JERICHO TPKE, MINEOLA, NY 11501-2135
(516) 741-3000
Mailing address
354 E JERICHO TPKE, MINEOLA, NY 11501-2135
(516) 741-3000
(718) 627-0040
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001536-1
NY
Other
Enumeration date
10/17/2006
Last updated
06/02/2008
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