Individual
LISA ROBIN ZOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC A
Contact information
Practice address
311 SAINT NICHOLAS AVE, RIDGEWOOD, NY 11385-2296
(718) 416-3277
Mailing address
311 SAINT NICHOLAS AVE, RIDGEWOOD, NY 11385-2296
(718) 416-3277
(718) 456-1491
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0012261
NY
332S00000X
Hearing Aid Equipment
001226-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01987475
—
NY
Enumeration date
03/20/2007
Last updated
07/22/2016
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