Organization
LYNDHURST AUDIOLOGY ASSOCIATES. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK KNUTSEN M.S. (AUDIOLOGIST/OWNER)
(201) 819-3707
Entity
Organization
Contact information
Practice address
537 NEW YORK AVE, LYNDHURST, NJ 07071-1506
(201) 819-3707
Mailing address
537 NEW YORK AVE, LYNDHURST, NJ 07071-1506
(201) 819-3707
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
41YA00002900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145254
—
NJ
Enumeration date
12/05/2014
Last updated
12/05/2014
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