Lenox Otolaryngology Head & Neck Surgery Pc | |
366 5th Ave Rm 709 New York NY 10001-2211 | |
(212) 629-3223 | |
(212) 629-3466 |
Full Name | Lenox Otolaryngology Head & Neck Surgery Pc |
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Speciality | Oral & Maxillofacial Surgery |
Location | 366 5th Ave Rm 709, New York, New York |
Authorized Official Name and Position | Michele L Cusack (SENIOR VICE PRESIDENT & CFO) |
Authorized Official Contact | 5163216058 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lenox Otolaryngology Head & Neck Surgery Pc 186 E 76th St 2nd Floor New York NY 10021-2844 Ph: (212) 434-2323 | Lenox Otolaryngology Head & Neck Surgery Pc 366 5th Ave Rm 709 New York NY 10001-2211 Ph: (212) 629-3223 |
NPI Number | 1689871238 |
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Provider Enumeration Date | 06/28/2007 |
Last Update Date | 11/03/2020 |
Medicare PECOS PAC ID | 3072699479 |
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Medicare Enrollment ID | O20080326000275 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689871238 | NPI | - | NPPES |
Provider Name | Peter Evan Protzel |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1700802980 PECOS PAC ID: 0749244630 Enrollment ID: I20041122000419 |
Provider Name | David L Hirsch |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1124038427 PECOS PAC ID: 8325141310 Enrollment ID: I20070831000687 |
Provider Name | Gady Har- El |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1013020650 PECOS PAC ID: 0941386346 Enrollment ID: I20080326000238 |
Provider Name | Hunter Martin |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1396035507 PECOS PAC ID: 2264702703 Enrollment ID: I20170717002180 |
Provider Name | Stephen Roth |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1083187538 PECOS PAC ID: 2769727460 Enrollment ID: I20210723000052 |
Provider Name | Monika Patel |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1457885923 PECOS PAC ID: 2769728229 Enrollment ID: I20230112002200 |
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