Individual
MS. NIKITA MARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ASLP, CCC-A
Contact information
Practice address
121 ERIE CANAL DR, SUITE E, ROCHESTER, NY 14626-4605
(585) 227-9920
Mailing address
167 GREYSTONE LN, APT # 15, ROCHESTER, NY 14618-4938
(585) 271-3508
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002108
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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