Organization
INNOVATIVE OTOLARYNGOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA ROSENTHAL M.D. (DIRECTOR)
(631) 923-1900
Entity
Organization
Contact information
Practice address
775 PARK AVE STE 225, HUNTINGTON, NY 11743-7532
(631) 923-1900
Mailing address
775 PARK AVE STE 225, HUNTINGTON, NY 11743-7532
(631) 923-1900
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
235220
NY
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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