Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 260225 | NY |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 5101016707 | MI |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 260225 | NY |
NPI | 1063533404 |
---|---|
Provider Name | Dr. Eric Adam Munzer |
First Address | Tarrytown, NY 10591-5139 |
Second Address | New Windsor, NY 12553-5506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 03/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
260225-1 | LICENSE (01) | NY |