| NPI | 1841486545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LAM Credentialing 914-471-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2017-02-07 |