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Organization
UROLOGICAL ASSOCIATES OF LI, PC
Active
Organization
UROLOGICAL ASSOCIATES OF LI, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A MARKIN (OFFICE MANAGER)
(631) 475-5051
Entity
Organization
Contact information
Practice address
635 BELLE TERRE RD, STE 202, PORT JEFFERSON, NY 11777-1935
(631) 473-1058
(631) 473-0238
Mailing address
250 YAPHANK RD, STE 11B, EAST PATCHOGUE, NY 11772-4800
(631) 475-5051
(631) 475-5140
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C14556
RAILROAD MEDICARE
NY
Enumeration date
03/28/2008
Last updated
03/31/2008
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