MEDICARE: DR. PAULA LAMENDOLA AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	000906	NY

General Provider Information

NPI Number	:	1245306356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAULA LAMENDOLA AU.D.

Provider Business Mailing Address
First Line	:	175 JERICHO TPKE STE 103
Second Line	:	SYOSSET SPEECH & HEARING CENTER
City	:	SYOSSET
State	:	NY
Zip	:	11791-4501
Country	:	US
Telephone Number	:	516-364-1234
Fax Number	:	516-364-3132

Provider Business Practice Location Address
First Line	:	175 JERICHO TPKE STE 103
Second Line	:	SYOSSET SPEECH & HEARING CENTER
City	:	SYOSSET
State	:	NY
Zip	:	11791-4501
Country	:	US
Telephone Number	:	516-364-1234
Fax Number	:	516-364-3132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	02/07/2011

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