Individual
MS. GAIL ANDREA WOLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA AUDIOLOGY
Contact information
Practice address
23 FARMINGTON LANE, MELVILLE, NY 11747
(631) 491-4129
Mailing address
23 FARMINGTON LANE, MELVILLE, NY 11747
(631) 491-4129
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000519
NY
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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