Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 156635 | NY |
NPI | 1538127683 |
---|---|
Provider Name | Dr. Eliot Danziger |
First Address | Flushing, NY 11355-5044 |
Second Address | Levittown, NY 11756-1341 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 12/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A64932 | (02) |