Individual
LYNN WALLACK SIROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
191 MAIN ST, PORT WASHINGTON HEARING CENTER LLC, PORT WASHINGTON, NY 11050-3231
(516) 883-9311
(516) 883-3652
Mailing address
191 MAIN ST, PORT WASHINGTON HEARING CENTER LLC, PORT WASHINGTON, NY 11050-3231
(516) 883-9311
(516) 883-3652
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000551-1
NY
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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