OrganizationActive
Ear, Nose & Throat Associates of New York,p.c.
NPI 1124079769 · Facial Plastic Surgery Physician · Fresh Meadows, NY
Provider details
- NPI number
- 1124079769
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tammy Jones, Credentialing Specialist
Practice location
16303 Horace Harding Expy Lowr Level
Fresh Meadows, NY 11365-1454
Phone: (718) 445-5100
Fax: (718) 886-7466
Mailing address
5528 Main St
Flushing, NY 11355-5044
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2021-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.