Individual
DR. LARRY EUGENE DALZELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2561 LAC DE VILLE BLVD, # 101, ROCHESTER, NY 14618-5645
(585) 461-9192
(585) 461-9196
Mailing address
175 GLENHILL DR, ROCHESTER, NY 14618-3933
(585) 442-6392
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000386-1
NY
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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