Provider Demographics
NPI:1508144643
Name:LYNN AUDIOLOGY AND HEARING AID SERVICES PC
Entity Type:Organization
Organization Name:LYNN AUDIOLOGY AND HEARING AID SERVICES PC
Other - Org Name:LYNN AND COHEN AUDIOLOGY PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:845-294-8544
Mailing Address - Street 1:30 MATTHEWS ST.
Mailing Address - Street 2:SUITE 307
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10956-1988
Mailing Address - Country:US
Mailing Address - Phone:845-294-8544
Mailing Address - Fax:845-294-3117
Practice Address - Street 1:30 MATTHEWS ST.
Practice Address - Street 2:SUITE 307
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1988
Practice Address - Country:US
Practice Address - Phone:845-294-8544
Practice Address - Fax:845-294-3117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000480231H00000X
NY000314231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM01053OtherMEDICARE, NY, MANUEL COHEN
NYM03182OtherMEDICARE, NY, DEBORAH LYNN
1447309034OtherNPI, DEBORAH LYNN
1699826727OtherNPI, MANUEL COHEN