Individual
DR. KARISSA GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1 TELEPORT DR, STATEN ISLAND, NY 10311-1007
(718) 370-0072
Mailing address
560 WHITE PLAINS RD STE 615, TARRYTOWN, NY 10591-6802
(914) 333-5801
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002727
NY
Other
Enumeration date
06/22/2017
Last updated
03/06/2018
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