| NPI | 1043698608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA D BHAYANI Provider/Owner 718-645-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NY 60 108506) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NY 60 108506) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |