Individual
SANDRA LYNN LUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
703 E MAPLE AVE, NEWARK, NY 14513-1845
(315) 331-1700
(315) 226-1947
Mailing address
5802 LINCOLN RD, NEWARK, NY 14513-8915
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0007501
NY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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