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METROPOLITAN OTOLARYNGOLOGY & FACIAL PLASTICS PC NPI 1992114656


NPI Information

NPI: 1992114656
Provider Name: METROPOLITAN OTOLARYNGOLOGY & FACIAL PLASTICS PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 33D2223170

Address:
4103 UNION ST
2ND FL
FLUSHING, NY
ZIP 11355
Phone: (718) 939-6050
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METROPOLITAN OTOLARYNGOLOGY & FACIAL PLASTICS PC is a specialist in Flushing, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. METROPOLITAN OTOLARYNGOLOGY & FACIAL PLASTICS PC NPI is 1992114656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4103 UNION ST
2ND FL
FLUSHING, NY
ZIP 11355-452
Phone: (718) 939-6050
Fax: (718) 939-6047

The provider's authorized official is John Kang .
The authorized official title is Physcian and has the following contact phone number (718) 939-6050.

The CLIA number assigned to this NPI record is 33D2223170 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2014 and was last updated on 8/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist182315NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102401MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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