Predmore, Lisa Caroline

Predmore, Lisa Caroline is an sole proprietor health care provider with primary practice located at 1165 Northern Blvd Suite 302, Manhasset NY 11030-3048. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Suppliers / Hearing Aid Equipment. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Predmore, Lisa Caroline can be contacted via phone (516) 627-7600.

Contact Information

Primary practice address
1165 Northern Blvd Suite 302 Manhasset NY 11030-3048
Phone: (516) 627-7600
Fax: (516) 627-6378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 001204 New York
Suppliers / Hearing Aid Equipment 332S00000X 001204 New York

Profile Details

NPI number 1043290190
LBN Legal business name Predmore, Lisa Caroline
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Jul 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043290190 NPPES
New York MEDICAID 02266580

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