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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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