Provider Demographics
NPI:1861445181
Name:EAR NOSE & THROAT ASSOCIATE OF WNY PC
Entity Type:Organization
Organization Name:EAR NOSE & THROAT ASSOCIATE OF WNY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARMANAND
Authorized Official - Middle Name:K
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-282-2041
Mailing Address - Street 1:6941 ELAINE DR
Mailing Address - Street 2:SUITE #3
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304
Mailing Address - Country:US
Mailing Address - Phone:716-282-2041
Mailing Address - Fax:716-282-1266
Practice Address - Street 1:6941 ELAINE DR
Practice Address - Street 2:SUITE #3
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304
Practice Address - Country:US
Practice Address - Phone:716-282-2041
Practice Address - Fax:716-282-1266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1590501174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0354Medicare UPIN