institution
New York Ent Physician Pc
Medical Specialty Clinic/Center in New York, New York
NPI 1104022888

New York Ent Physician Pc is a Medical Specialty Clinic/Center based in New York, NY and is specialized in Medical Specialty. New York Ent Physician Pc practices in New York, NY. The NPI Number for New York Ent Physician Pc is 1104022888 and holds a License No. NYS 165672 (New York).

The current practice location address for New York Ent Physician Pc is 110 Lafayette St, New York, NY and can be reached out via phone at 212-925-3569 and via fax at 212-966-3465. You can also correspond with New York Ent Physician Pc through the mailing address at 110 LAFAYETTE ST, NEW YORK, NY - 10013-4116 (mailing address contact number: 212-925-3569).

Location: 110 Lafayette St, New York, NY, 10013-4116
institution
Provider Profile Details
NPI Number
1104022888
Provider Name
New York Ent Physician Pc
Credential
Provider Entity Type
Organization
Address
110 Lafayette St, New York, NY, 10013-4116
Phone Number
212-925-3569
Fax Number
212-966-3465
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00945639 05 NY
institution
Provider Business Practice Location Address Details
Address
110 Lafayette St
City
State
Zip
10013-4116
Phone Number
212-925-3569
Fax Number
212-966-3465
person
Provider Business Mailing Address Details
Address
110 Lafayette St
City
State
Zip
10013-4116
Phone Number
212-925-3569
Fax Number
212-966-3465
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
NYS 165672 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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