Organization
ERNEST M. ENZIEN MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST MACLAREN ENZIEN SR. M.D. (DOCTOR)
(315) 732-6444
Entity
Organization
Contact information
Practice address
1705 GENESEE ST, UTICA, NY 13501-5642
(315) 732-6444
(315) 732-4448
Mailing address
1705 GENESEE ST, UTICA, NY 13501-5642
(315) 732-6444
(315) 732-4448
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00578161
—
NY
01
—
01182598
GHI
NY
01
—
045111
MVP
NM
Enumeration date
02/08/2007
Last updated
08/04/2008
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