Individual
DR. OLESIA IVANUTENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
330 E 39TH ST, #14R, NEW YORK, NY 10016-2187
(732) 801-6984
Mailing address
1163 WILLIS AVE, ALBERTSON, NY 11507-1213
(516) 484-0811
(718) 514-7403
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002270
NY
Other
Enumeration date
08/07/2009
Last updated
12/20/2018
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