Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastside ENT PLLC

Organization Otolaryngology Physician · NPI 1538007497

Eastside ENT PLLC is an Otolaryngology Physician in New York, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

530 E 76th St Apt 15A
New York, NY 10021-3148
Phone: (917) 647-6647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1538007497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farah Roche — Billing Manager · (212) 518-7186
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address530 E 76th St Apt 15a, New York, NY 10021-3148

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