Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 086051 | NY |
NPI | 1881675684 |
---|---|
Provider Name | Mr. Jules Musinger |
First Address | Rochester, NY 14626-4605 |
Second Address | Rochester, NY 14626-4605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00451969 | (05) | NY |
B71751 | (02) | NY |
P102088 | PREF CARE (01) | NY |