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Contact Information

BRONX EAR NOSE & THROAT ASSOCIATE PC
3250 WESTCHESTER AVE
STE #204
BRONX, NY10461
 Phone: 718-409-2780
 Fax: 718-409-2786
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for BRONX EAR NOSE & THROAT ASSOCIATE PC

NPI Number 1821163403
LBN Legal business name BRONX EAR NOSE & THROAT ASSOCIATE PC
Authorized official LEACROFT GREEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 11/16/2020 - About 6 years ago
Identifiers
NY License # 195521
NY Medicaid 01677572
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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