Individual
NANCY L. DATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.M.,AU.D.
Contact information
Practice address
350 THEODORE FREMD AVE, RYE, NY 10580-1573
(914) 588-8088
Mailing address
323 WAGNER AVE, MAMARONECK, NY 10543-2837
(914) 630-0724
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000653-1
NY
235Z00000X
Speech-Language Pathologist
004589
CT
235Z00000X
Speech-Language Pathologist
007546-1
NY
Other
Enumeration date
03/07/2007
Last updated
10/28/2013
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