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Organization

STATEN ISLAND AUDIOLOGY AND HEARING PC

Active
Other names
Staten Island Hearig & Balance
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA L CANNON AU.D. (PRESIDENT)
(718) 816-1952
Entity
Organization

Contact information

Practice address
78 TODT HILL RD, SUITE 202, STATEN ISLAND, NY 10314-4513
(718) 816-1952
(718) 816-5118
Mailing address
78 TODT HILL RD, SUITE 202, STATEN ISLAND, NY 10314-4513
(718) 816-1952
(718) 816-5118

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001287-1
NY

Other

Enumeration date
03/16/2011
Last updated
10/12/2015
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