Individual
DOLORES L. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1 OTSEGO ST, PORT JEFFERSON STATION, NY 11776-4405
(631) 473-7045
Mailing address
1 OTSEGO ST, PORT JEFFERSON STATION, NY 11776-4405
(631) 473-7045
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02100241
—
NY
Enumeration date
04/22/2008
Last updated
04/22/2008
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