| NPI | 1447269436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS BENTSIANOV Managing Employee 718-996-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 211012) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2012-06-05 |