Organization
LISA C. PREDMORE AU.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA C PREDMORE AUD (OWNER)
(516) 627-7600
Entity
Organization
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
1204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02266580
—
NY
Enumeration date
02/08/2007
Last updated
08/22/2020
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