Organization
METROPOLITAN LITHOTRIPTOR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B MANDEL (PRESIDENT COO)
(646) 742-8800
Entity
Organization
Contact information
Practice address
2578 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554
(516) 731-8118
(516) 731-9263
Mailing address
450 PARK AVENUE SOUTH, NEW YORK CITY, NY 10016
(646) 742-8815
(212) 481-8162
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001151
HORIZON
—
01
—
1000332
GHI
—
01
—
293999
UNITED HEALTH CARE
—
01
—
8459536
AETNA
—
01
—
97003
CIGNA
—
01
—
ANC144
OXFORD
—
05
—
AZ00256
—
NY
01
—
IC7854
HEALTHNET
—
Enumeration date
07/02/2006
Last updated
08/22/2020
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