Individual
MAYA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
19472 US ROUTE 11, WATERTOWN, NY 13601-5387
(315) 425-4400
Mailing address
19472 US ROUTE 11, WATERTOWN, NY 13601-5387
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A.01825
OH
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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