| NPI | 1730218074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ TIMOTHY ABRAHAM Owner 845-454-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NY 211519) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 211519) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2008-10-01 |