Individual
DANA L.. OVIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01368309
—
NY
01
—
J400043589
MEDICARE PTAN
NY
Enumeration date
10/19/2005
Last updated
01/13/2012
Update your record
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