| NPI | 1205295086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANAZ HARIRCHIAN Co Owner 917-974-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX Q1412) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |