Individual
EITAN PRISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE GUSTAVE LEVY PLACE, ANNENBERG 10-50, NEW YORK, NY 10029-6574
(212) 241-9144
Mailing address
128 E 83RD ST, APARTMENT 1B, NEW YORK, NY 10028-0812
(917) 566-7607
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
004112-1
NY
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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