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Organization
TRIO UROLOGY ASSOCIATES LLC
Active
Organization
TRIO UROLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA ORLOVA (MANAGER)
(718) 505-1177
Entity
Organization
Contact information
Practice address
3739 75TH ST, JACKSON HEIGHTS, NY 11372-6422
(718) 505-1177
(718) 505-2046
Mailing address
11045 QUEENS BLVD, SUITE 110, FOREST HILLS, NY 11375-5501
(718) 505-1177
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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