Organization
ENT FACULTY PRACTICE LLP
Active
Organization
ENT FACULTY PRACTICE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE MOSCATELLO MD (PARTNER)
(914) 693-7636
Entity
Organization
Contact information
Practice address
1055 SAW MILL RIVER RD, SUITE 101, ARDSLEY, NY 10502-1045
(914) 693-7636
(914) 886-0027
Mailing address
PO BOX 708, ARDSLEY, NY 10502-0708
(914) 886-0024
(914) 886-0041
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
01/03/2011
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