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Contact Information

CLOVE LAKES ENT PC
1414 VICTORY BLVD
STATEN ISLAND, NY10301
 Phone: 718-447-1261
 Fax: 718-981-1856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CLOVE LAKES ENT PC

NPI Number 1619039815
LBN Legal business name CLOVE LAKES ENT PC
Authorized official HELEN KIM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2006
Last updated 02/25/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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