Provider Demographics
NPI:1790871168
Name:CAYUGA EAR, NOSE, THROAT & ALLERGY ASSOCIATES
Entity Type:Organization
Organization Name:CAYUGA EAR, NOSE, THROAT & ALLERGY ASSOCIATES
Other - Org Name:CAYUGA ENT & ALLERGY ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:STROMINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-266-0772
Mailing Address - Street 1:2 ASCOT PL
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1072
Mailing Address - Country:US
Mailing Address - Phone:607-266-0772
Mailing Address - Fax:607-266-0176
Practice Address - Street 1:2 ASCOT PL
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1072
Practice Address - Country:US
Practice Address - Phone:607-266-0772
Practice Address - Fax:607-266-0176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0535Medicare ID - Type Unspecified