Lynn Wallack Sirow, PH.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

000551-1 Issued in NY

Practice address

191 Main St
Port Washington Hearing Center LLC
Port Washington, NY 11050-3231

Phone

(516) 883-9311

Fax

(516) 883-3652

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063580678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "address_2": "PORT WASHINGTON HEARING CENTER LLC",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503231",
            "telephone_number": "516-883-9311",
            "fax_number": "516-883-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "address_2": "PORT WASHINGTON HEARING CENTER LLC",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503231",
            "telephone_number": "516-883-9311",
            "fax_number": "516-883-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROW",
        "first_name": "LYNN",
        "middle_name": "WALLACK",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000551-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.