Provider Demographics
NPI:1821373358
Name:TOSHKOFF ENT PLLC
Entity Type:Organization
Organization Name:TOSHKOFF ENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RADOSLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSHKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:914-633-6375
Mailing Address - Street 1:175 MEMORIAL HWY
Mailing Address - Street 2:SUITE 1-2
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5635
Mailing Address - Country:US
Mailing Address - Phone:914-633-6375
Mailing Address - Fax:914-633-6359
Practice Address - Street 1:175 MEMORIAL HWY
Practice Address - Street 2:SUITE 1-2
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5635
Practice Address - Country:US
Practice Address - Phone:914-633-6375
Practice Address - Fax:914-633-6359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-16
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246638207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG100084244Medicare PIN