Individual provider · NPI-1
Alla Avdashchenko, MA, CCC-A
Audiologist · Bronx, NY
NPI number1013091735
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013091735
- Entity type
- Individual (NPI-1)
- Name
- Alla Avdashchenko
- Credential
- MA, CCC-A
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 001778 | NY | Yes |
Practice location
1400 Pelham Pkwy SBuilding 1, Room 5n1
Bronx, NY 10461-1138
Phone 718-918-6275
Mailing address
2006 Benson AveApt.3g
Brooklyn, NY 11214-4847
Phone 718-946-3825
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