Organization
WESTCHESTER PUTNAM UROLOGY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINGO CP FAVALE M.D. (MEDICAL DIRECTOR)
(914) 739-1219
Entity
Organization
Contact information
Practice address
1985 CROMPOND RD, CORTLANDT MANOR, NY 10567-4146
(914) 739-1219
(914) 739-2353
Mailing address
1985 CROMPOND RD, CORTLANDT MANOR, NY 10567-4146
(914) 739-1219
(914) 739-2353
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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