Organization
FINGER LAKES OTOLARYNGOLOGY, PC
Active
Other names
FingerLakes Otolaryngology, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN A VANBORTEL (PRACTICE MANAGER)
(315) 331-1313
Entity
Organization
Contact information
Practice address
1206 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 331-1313
(315) 331-5828
Mailing address
1206 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 331-1313
(315) 331-5828
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
Other
Enumeration date
07/17/2006
Last updated
02/03/2017
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