Organization
PLATTSBURGH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICIA BASS (ADMINISTRATOR)
(407) 637-0973
Entity
Organization
Contact information
Practice address
79 HAMMOND LN STE 12, PLATTSBURGH, NY 12901-2075
(518) 566-7930
Mailing address
79 HAMMOND LN STE 12, PLATTSBURGH, NY 12901-2075
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
12/26/2023
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