Individual
TATYANA DANIELOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
600 NORTHERN BLVD STE 100, GREAT NECK, NY 11021-5200
(516) 482-3223
Mailing address
600 NORTHERN BLVD STE 100, GREAT NECK, NY 11021-5200
(516) 482-3223
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002263
NY
Other
Enumeration date
01/13/2010
Last updated
02/19/2014
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