Sage Otolaryngology Pllc

NPI #1548378680 in Powderly, Kentucky

Provider Information

NPI Number: 1548378680
Entity Type: Organization
Organization Name: Sage Otolaryngology Pllc
Primary Specialty: Otolaryngology
Enumeration Date: Aug 28, 2006
Last Updated: Jun 9, 2010

Practice Location

Address: 1010 MEDICAL CENTER DR
City: Powderly
State: Kentucky
ZIP Code: 42367-5463
Phone: (917) 846-4617

Authorized Official

Name: DR. BORIS CHERNOBILSKY, M.D.
Title: MEMBER
Phone: (917) 846-4617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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