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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043290190 | NPPES |
New York | MEDICAID | 02266580 |
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