Provider Demographics
NPI:1770745291
Name:NORTHERN VALLEY ENT & FACIAL PLASTICS
Entity type:Organization
Organization Name:NORTHERN VALLEY ENT & FACIAL PLASTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHERL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-635-9742
Mailing Address - Street 1:219 OLD HOOK RD
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-3131
Mailing Address - Country:US
Mailing Address - Phone:201-666-8787
Mailing Address - Fax:201-358-6686
Practice Address - Street 1:333 W 57TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3159
Practice Address - Country:US
Practice Address - Phone:212-635-9742
Practice Address - Fax:201-358-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60-156455207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty