Organization
NYC METRO ENT PC
Active
Organization
NYC METRO ENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA D BHAYANI MD (PROVIDER/OWNER)
(718) 645-2555
Entity
Organization
Contact information
Practice address
6273 WOODHAVEN BLVD, REGO PARK, NY 11374-2832
(718) 595-1100
Mailing address
PO BOX 230207, BROOKLYN, NY 11223-0207
(718) 645-2555
(718) 645-1333
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
60 108506
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
60 108506
NY
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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