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Organization

EAR, NOSE & THROAT ASSOCIATION

Active
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Organization

EAR, NOSE & THROAT ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSEMARY BOERSCHIG (OFFICE MANAGER)
(718) 631-8899
Entity
Organization

Contact information

Practice address
21245 26TH AVE, BAYSIDE, NY 11360-1901
(718) 762-0966
Mailing address
21245 26TH AVE, BAYSIDE, NY 11360-1901
(718) 762-0966

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
140561
NY
174400000X
Specialist
Primary
169492
NY
174400000X
Specialist
1829331
NY
174400000X
Specialist
1892771
NY
174400000X
Specialist
191884
NY

Other

Enumeration date
07/25/2007
Last updated
07/25/2007
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