Organization · Type 2 NPI

Northern Valley Ent & Facial Plastics

Otolaryngology/Facial Plastic Surgery Physician · New York, NY

NPI number 1770745291 Active

Practice location

333 W 57th St, Suite 104
New York, NY 10019-3159

Fax (201) 358-6686

Mailing address

219 Old Hook Rd
Westwood, NJ 07675-3131

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905X60-156455 (NY)

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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About NPI 1770745291

Northern Valley Ent & Facial Plastics's National Provider Identifier is 1770745291, issued on Jun 26, 2008. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in New York, NY. The record was last updated on Jun 26, 2008.