Organization
MANHATTAN FACIAL PLASTIC SURGERY AND EAR NOSE & THROAT PROFESSIONAL
Active
Organization
MANHATTAN FACIAL PLASTIC SURGERY AND EAR NOSE & THROAT PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WILLIAMS (CREDENTIALING CONSULTANT)
(570) 801-1847
Entity
Organization
Contact information
Practice address
400 EAST 20TH STREET STE 3F, NEW YORK, NY 10009
(212) 381-6110
(212) 381-6110
Mailing address
400 E 20TH ST APT 3F, NEW YORK, NY 10009-8105
(212) 381-6110
(212) 381-6110
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
01/12/2021
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