Provider Demographics
NPI:1487738142
Name:LAMB, ELAINE CECILIA (AUD)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:CECILIA
Last Name:LAMB
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 ROCKLAND AVE
Mailing Address - Street 2:APT B
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-2221
Mailing Address - Country:US
Mailing Address - Phone:718-918-6274
Mailing Address - Fax:718-918-7710
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:BUILDING #1 ROOM 5N1
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:718-918-6274
Practice Address - Fax:718-918-7710
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY905231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist