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Organization

FAMILY EAR NOSE AND THROAT CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DENISE D COOK (OFFICE MANAGER)
(518) 842-8185
Entity
Organization

Contact information

Practice address
5010 STATE HIGHWAY 30, SUITE 204, AMSTERDAM, NY 12010
(518) 842-8185
(518) 842-8189
Mailing address
5010 STATE HIGHWAY 30, SUITE 204, AMSTERDAM, NY 12010
(518) 842-8185
(518) 842-8189

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
207YX0602X
Otolaryngic Allergy Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01515397
NY
Enumeration date
10/26/2006
Last updated
02/20/2013
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