Provider Demographics
NPI:1861675241
Name:LYRIC AUDIOLOGY, PLLC
Entity Type:Organization
Organization Name:LYRIC AUDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:B
Authorized Official - Last Name:JACOBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-395-0300
Mailing Address - Street 1:105 PINE DR
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-6632
Mailing Address - Country:US
Mailing Address - Phone:914-621-2074
Mailing Address - Fax:845-395-0299
Practice Address - Street 1:105 PINE DR
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-6632
Practice Address - Country:US
Practice Address - Phone:914-621-2074
Practice Address - Fax:845-395-4029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-09
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty