Organization
NEW YORK UROLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BAEZ (COO)
(516) 693-0700
Entity
Organization
Contact information
Practice address
2016 BRONXDALE AVE, SUITE 202, BRONX, NY 10462-3388
(718) 863-8695
Mailing address
1100 SHAMES DR, SUITE 100, WESTBURY, NY 11590-1765
(516) 693-0700
(516) 693-0271
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
162928
NY
Other
Enumeration date
07/11/2007
Last updated
03/31/2008
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