Individual
MS. TINA ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-A
Contact information
Practice address
1832 VETERANS MEMORIAL HWY., ISLANDIA, NY 11749
(631) 582-3707
(631) 582-3795
Mailing address
PO BOX 406153, ATLANTA, GA 30384-1876
(631) 582-3707
(631) 582-3795
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1594-1
NY
Other
Enumeration date
06/27/2006
Last updated
01/16/2009
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