| NPI | 1346681053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA INGALLS HOLDERBAUM Audiologist 718-543-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 0007321) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |