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Individual

ERIC SMOUHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
261 FIFTH AVENUE, 9TH FLOOR, NEW YORK, NY 10016-7601
(212) 683-4624
(212) 683-4551
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
153211
NY
207YX0901X
Otology & Neurotology Physician
Primary
153211
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
153211
MEDICAL LICENSE
NY
Enumeration date
03/27/2006
Last updated
04/04/2019
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