Provider Demographics
NPI:1659382356
Name:ENT DIAGNOSTICS PLLC
Entity Type:Organization
Organization Name:ENT DIAGNOSTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:ROSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-763-7333
Mailing Address - Street 1:45 ROXBURY RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5928
Mailing Address - Country:US
Mailing Address - Phone:516-763-7333
Mailing Address - Fax:516-763-1290
Practice Address - Street 1:45 ROXBURY RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5928
Practice Address - Country:US
Practice Address - Phone:516-763-7333
Practice Address - Fax:516-763-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138604174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty