National Provider Identifier
Dawn W. Patrick, M.A., CCC/A
Dawn W. Patrick, M.A., CCC/A is listed in the NPPES registry with a primary specialty of Audiologist in Newark, NY and a listed phone number of (315) 210-6570.
Profile Overview
- NPI
- 1487849261
- Provider Type
- Individual
- Primary Specialty
- Audiologist
- Enumeration Date
- September 13, 2007
- Last Updated
- May 22, 2020
Practice Location
- 1206 Driving Park Ave
- Newark, NY 14513
Phone: (315) 210-6570
Mailing Address
- 1206 Driving Park Ave
- Newark, NY 14513-1057
Specialties
- Audiologist (231H00000X)
Full Record
- NPI
- 1487849261
- Entity Type
- Individual
- Last Name
- Patrick
- First Name
- Dawn
- Middle Name
- W.
- Name Prefix
- Mrs.
- Credential
- M.A., CCC/A
- Mailing Street Address
- 1206 Driving Park Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1057
- Mailing Country
- US
- Mailing Phone
- (315) 331-1313
- Mailing Fax
- (315) 331-5828
- Practice Street Address
- 1206 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513
- Practice Country
- US
- Practice Phone
- (315) 210-6570
- Enumeration Date
- September 13, 2007
- Last Updated
- May 22, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 22, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Audiologist (231H00000X)
- Other Identifiers
- 11334568 (NY, Caqh Provider Id#)