| NPI | 1457432304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G. ETRA M.D. 516-487-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 128003) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 215924) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 217820) | |
| 207Y00000X Otolaryngology (Licence: NY 127393) | |
| 207Y00000X Otolaryngology (Licence: NY 125573) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NY 207896) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-12-18 |