| NPI | 1619171964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT H. BENNETT President 212-980-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: NY 219211) |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: NY 219211) |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: NY 219211) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2015-08-17 |