Individual
LISA CAROLINE PREDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1165 NORTHERN BLVD, SUITE 302, MANHASSET, NY 11030-3048
(516) 627-7600
(516) 627-6378
Mailing address
1165 NORTHERN BLVD, SUITE 302, MANHASSET, NY 11030-3048
(516) 627-7600
(516) 627-6378
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001204
NY
332S00000X
Hearing Aid Equipment
001204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02266580
—
NY
Enumeration date
01/17/2006
Last updated
07/15/2015
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