Healthcare Provider Details

I. General information

NPI: 1538303615
Provider Name (Legal Business Name): PAUL ERIC HAMMERSCHLAG, MD, FACS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 1ST AVE
NEW YORK NY
10016-3240
US

IV. Provider business mailing address

650 1ST AVE
NEW YORK NY
10016-3240
US

V. Phone/Fax

Practice location:
  • Phone: 212-889-2600
  • Fax: 212-679-9207
Mailing address:
  • Phone: 212-889-2600
  • Fax: 212-679-9207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number141394
License Number StateNY

VIII. Authorized Official

Name: PAUL E. HAMMERSCHLAG
Title or Position: MEMBER
Credential: MD
Phone: 212-889-2600