Individual
KELLY JANE NASIATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
003053
NY
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
05/04/2026
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