| Lisa Caroline Predmore, AUD | |
|
1165 Northern Blvd, Suite 302, Manhasset, NY 11030-3048 | |
| (516) 627-7600 | |
| (516) 627-6378 |
| Full Name | Lisa Caroline Predmore |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1165 Northern Blvd, Manhasset, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043290190 | NPI | - | NPPES |
| 02266580 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 001204 (New York) | Primary |
| 332S00000X | Hearing Aid Equipment | 001204 (New York) | Secondary |
| Provider Name | Bronxcare Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082 |
| Provider Name | Lisa C Predmore Aud Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447391057 PECOS PAC ID: 2365424645 Enrollment ID: O20041022000208 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Caroline Predmore, AUD 1165 Northern Blvd, Suite 302, Manhasset, NY 11030-3048 Ph: (516) 627-7600 | Lisa Caroline Predmore, AUD 1165 Northern Blvd, Suite 302, Manhasset, NY 11030-3048 Ph: (516) 627-7600 |
Aviva Brandsdorfer, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 333 E Shore Rd, Suite 102, Manhasset, NY 11030 Phone: 516-482-0923 | |
Katherine Anastasia Frangos, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1615 Northern Blvd, Suite 201, Manhasset, NY 11030 Phone: 516-365-7952 | |
Lisa C. Predmore Au.d., Pc Audiologist Medicare: Medicare Enrolled Practice Location: 1165 Northern Blvd, Suite 302, Manhasset, NY 11030 Phone: 516-627-7600 Fax: 516-627-6378 | |
Philip Audiology & Hearing Aid Services, Pllc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 152 Nassau Ave, Manhasset, NY 11030 Phone: 917-232-8259 | |
Raymond L. Soletic Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1615 Northern Blvd, Suite 201, Manhasset, NY 11030 Phone: 516-365-7952 Fax: 516-365-7233 | |
Allison Lowenberg, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 333 E Shore Rd Ste 102, Manhasset, NY 11030 Phone: 516-466-0206 |