Organization
SAGE OTOLARYNGOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS CHERNOBILSKY M.D. (MEMBER)
(917) 846-4617
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(917) 846-4617
Mailing address
10440 QUEENS BLVD, 11V, FOREST HILLS, NY 11375-3637
(917) 846-4617
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
06/09/2010
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