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Organization

DOMINICK SERVEDIO, AU.D, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINICK SERVEDIO AU.D (AUDIOLOGIST/ OWNER)
(917) 441-6094
Entity
Organization

Contact information

Practice address
200 W 57TH ST, SUITE 910, NEW YORK, NY 10019-3211
(917) 441-6094
(917) 441-6102
Mailing address
200 W 57TH ST, SUITE 910, NEW YORK, NY 10019-3211
(917) 441-6094
(917) 441-6102

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1080
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000048259
AFFINITY
NY
01
160570P
HIP
NY
01
174255
ELDERPLAN
NY
01
241110
UNITED HEALTH CARE
NY
01
4899667
GHI
NY
01
5C6011
HEALTHNET
NY
01
7103327
CIGNA
NY
01
M75911
EMPIRE BLUE CROSS BLUE SHEILD
NY
01
P12043249
MULTIPLAN
NY
01
P3028736
OXFORD
NY
01
SD1080
ATLANTIS
NY
Enumeration date
04/28/2008
Last updated
06/10/2008
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