| NPI | 1912491556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LAM Billing 914-222-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |