Organization
UROLOGIC SURGICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON GROTAS MD (OWNER)
(516) 239-8585
Entity
Organization
Contact information
Practice address
290 CENTRAL AVE STE 207, LAWRENCE, NY 11559-8507
(516) 239-8585
Mailing address
290 CENTRAL AVE STE 207, LAWRENCE, NY 11559-8507
(516) 239-8585
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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