Individual
MRS. LOIS MARY BENNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 351-3722
Mailing address
128 VANDERBILT AVE, MANHASSET, NY 11030-1964
(516) 570-6181
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
797-1
NY
Other
Enumeration date
12/14/2011
Last updated
02/29/2012
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