Organization
AUDIOLOGICAL DIAGNOSTICS
Active
Organization
AUDIOLOGICAL DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DASSAN ALI SC.D (OWNER)
(718) 930-1225
Entity
Organization
Contact information
Practice address
447 77TH ST, BROOKLYN, NY 11209-3205
(718) 745-2826
(718) 745-0040
Mailing address
447 77TH ST, BROOKLYN, NY 11209-3205
(718) 745-2826
(718) 745-0040
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
104669432
NY
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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