Organization · NPI-2

5th Avenue Otolaryngology, PLLC

Otolaryngology · New York, NY

NPI number1487325270
StatusActive
Last updated in NPPESSep 22, 2021

Details

NPI
1487325270
Entity type
Organization (NPI-2)
Legal business name
5th Avenue Otolaryngology, PLLC
Organization subpart
No
Enumeration date
Sep 22, 2021
Certification date
Sep 22, 2021
Last updated
Sep 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology––Yes

Practice location

923 5th Ave Apt 1a
New York, NY 10021-2681

Phone 212-980-2600

Mailing address

923 5th Ave Apt 1a
New York, NY 10021-2681

Authorized official

Meaghan Cush
Executive Director
2129802600

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