Organization
5TH AVENUE OTOLARYNGOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGHAN CUSH (EXECUTIVE DIRECTOR)
(212) 980-2600
Entity
Organization
Contact information
Practice address
923 5TH AVE APT 1A, NEW YORK, NY 10021-2681
(212) 980-2600
Mailing address
923 5TH AVE APT 1A, NEW YORK, NY 10021-2681
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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