Provider Demographics
NPI:1295909125
Name:SINGARAM, BRANDI LYNN (AUD)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:LYNN
Last Name:SINGARAM
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:LYNN
Other - Last Name:SINGARAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD CCC-A
Mailing Address - Street 1:103 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-3020
Mailing Address - Country:US
Mailing Address - Phone:516-323-2275
Mailing Address - Fax:
Practice Address - Street 1:103 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-323-2275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001938231H00000X
NY001938-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist