Organization
EASTSIDE ENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FARAH ROCHE (BILLING MANAGER)
(212) 518-7186
Entity
Organization
Contact information
Practice address
530 E 76TH ST APT 15A, NEW YORK, NY 10021-3148
(917) 647-6647
Mailing address
530 E 76TH ST APT 15A, NEW YORK, NY 10021-3148
(917) 647-6647
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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