Individual
MRS. DAWN W. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/A
Contact information
Practice address
1206 DRIVING PARK AVE, NEWARK, NY 14513
(315) 210-6570
Mailing address
1206 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 331-1313
(315) 331-5828
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11334568
CAQH PROVIDER ID#
NY
Enumeration date
09/13/2007
Last updated
05/22/2020
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