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Contact Information

LISA R ZOLLMAN, MA CCC A
311 SAINT NICHOLAS AVE
RIDGEWOOD, NY11385-2296
 Phone: 718-416-3277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Hearing Aid Equipment

332S00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LISA R ZOLLMAN · (Female)

NPI # 1669597761
Status Active
Credentials MA CCC A
Entity Individual
Enumeration date 03/20/2007
Last updated 07/22/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 001226-1
  • NY License # 0012261
  • NY Medicaid 01987475
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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