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Organization
HEAD & NECK SURGERY, LLC
Active
Organization
HEAD & NECK SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LAM (CREDENTIALING)
(212) 979-4572
Entity
Organization
Contact information
Practice address
128-138 MOTT STREET, STE 608, NEW YORK, NY 10013
(212) 343-8399
(212) 343-1386
Mailing address
PO BOX 2625, NEW YORK, NY 10009-8925
(212) 979-4572
(212) 979-4510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
224219
NY
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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