Individual
ANITA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
152 MADISON AVE, 1104, NEW YORK, NY 10016-5424
(212) 921-1666
(636) 395-3309
Mailing address
2513 86TH ST, EAST ELMHURST, NY 11369-1026
(347) 724-0107
(646) 395-3309
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002502
NY
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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