Individual
MRS. DINA NAOMI PETTIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
5700 W GENESEE ST, SUITE 229, CAMILLUS, NY 13031-3200
(315) 234-3842
Mailing address
415 HALTON RD, SYRACUSE, NY 13224-2229
(315) 299-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
624694
NY
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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