| Organization Name: | ENT FACULTY PRACTICE LLP |
| NPI Number: | 1104910876 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AUGUSTINE MOSCATELLO (PARTNER) |
| Mailing Address: | 1055 Saw Mill River Rd Suite 101 Ardsley |
| State: | NY US |
| Postal Code: | 105021045 |
| Phone Number: | 9146937636 |
| Fax Number: | 9148860027 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 01/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |