Healthcare Provider Details

I. General information

NPI: 1538162698
Provider Name (Legal Business Name): MAUREEN E. LYNCH-RINALDI AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 07/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7385 S BROADWAY
RED HOOK NY
12571
US

IV. Provider business mailing address

7385 S BROADWAY
RED HOOK NY
12571-1745
US

V. Phone/Fax

Practice location:
  • Phone: 845-758-1456
  • Fax:
Mailing address:
  • Phone: 845-758-1456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1400006517
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number001327-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: