Provider Demographics
NPI:1841478450
Name:MANHATTAN COMPREHENSIVE EAR MEDICINE, PLLC
Entity type:Organization
Organization Name:MANHATTAN COMPREHENSIVE EAR MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER 50 PERCENT
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SILVERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-213-3456
Mailing Address - Street 1:161 MADISON AVENUE
Mailing Address - Street 2:SUITE 10 SW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-213-3456
Mailing Address - Fax:646-695-0690
Practice Address - Street 1:161 MADISON AVENUE
Practice Address - Street 2:SUITE 10 SW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-213-3456
Practice Address - Fax:646-695-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232741207Y00000X
NY7431231H00000X
NY202817207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G44473Medicare UPIN