Individual
LUCIA KHODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
358 N BROADWAY, SUITE #203, SLEEPY HOLLOW, NY 10591-2322
(914) 631-3053
Mailing address
560 WHITE PLAINS RD, SUITE 615, TARRYTOWN, NY 10591-6802
(914) 333-5801
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002694-1
NY
Other
Enumeration date
11/14/2016
Last updated
11/30/2016
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