Organization
UTICA UROLOGIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W. ANTHONY MANDOUR MD (PRESIDENT)
(315) 797-6370
Entity
Organization
Contact information
Practice address
3 PARKSIDE CT, UTICA, NY 13501-5643
(315) 797-6370
(315) 738-8906
Mailing address
3 PARKSIDE CT, UTICA, NY 13501-5643
(315) 797-6370
(315) 738-8906
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
03/09/2010
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