Provider Demographics
NPI:1598056657
Name:KASE, LYNN (MA)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:
Last Name:KASE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:654 MADISON AVE
Mailing Address - Street 2:SUITE 709
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8404
Mailing Address - Country:US
Mailing Address - Phone:212-486-7521
Mailing Address - Fax:212-486-7538
Practice Address - Street 1:654 MADISON AVE
Practice Address - Street 2:SUITE 709
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8404
Practice Address - Country:US
Practice Address - Phone:212-486-7521
Practice Address - Fax:212-486-7538
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY829231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist