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Individual

JENNIE NOSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
654 MADISON AVE RM 709, NEW YORK, NY 10065-8438
(212) 486-7538
Mailing address
654 MADISON AVE RM 709, NEW YORK, NY 10065-8438
(212) 486-7538

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002680-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002680-1
LICENSE
NY
Enumeration date
09/13/2016
Last updated
11/14/2018
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