| NPI | 1912211038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALLEY DABAKAROV Audiologist/Owner 917-751-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 0022151) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2014-01-09 |