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Individual

SETH OFGANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA CCCA

Contact information

Practice address
44 ELM STREET, SUITE #4, HUNTINGTON, NY 11743-3403
(631) 271-6263
(631) 271-2062
Mailing address
44 ELM STREET, SUITE #4, HUNTINGTON, NY 11743-3403
(631) 271-6263
(631) 271-2062

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
0016751
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113502
VYTRA
NY
01
16751
EMPIRE
NY
01
218004P
HIP
NY
01
M90671
BCBS
NY
Enumeration date
03/13/2007
Last updated
07/08/2007
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