Individual
TALLEY DABAKAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D. CCC-A
Contact information
Practice address
11919 JAMAICA AVE, JAMAICA, NY 11418-2512
(917) 751-8455
Mailing address
11919 JAMAICA AVE, JAMAICA, NY 11418-2512
(917) 751-8455
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002215-1
NY
Other
Enumeration date
12/30/2008
Last updated
01/09/2014
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