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Individual

DR. NICOLE MARIE ANZALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D., CCC-A

Contact information

Practice address
5639 W GENESEE ST, CAMILLUS, NY 13031-1250
(315) 468-6888
(315) 468-6892
Mailing address
5639 WEST GENESEE ST., CAMILLUS, NY 13031
(315) 468-6888
(315) 468-6892

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
002209
NY
237600000X
Audiologist-Hearing Aid Fitter
Primary
57002209
NY

Other

Enumeration date
10/21/2008
Last updated
11/11/2008
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