Fifth Avenue Otolaryngologists, Inc.
NPI #1760577787 in Youngstown, Ohio
Provider Information
- NPI Number
- 1760577787
- Entity Type
- Organization
- Organization Name
- Fifth Avenue Otolaryngologists, Inc.
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Nov 13, 2020
Practice Location
- Address
- 7227 GLENWOOD AVE
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44512-4853
- Phone
- (330) 629-2144
Authorized Official
- Name
- ANDREA R. RICCIARDULLI
- Title
- OFFICE MANAGER
- Phone
- (330) 629-2144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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