Organization
UROGYNECOLOGY OF NY PC
Active
Organization
UROGYNECOLOGY OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASIL KOCUR MD (PRESIDENT)
(914) 722-2600
Entity
Organization
Contact information
Practice address
688 WHITE PLAINS RD, SUITE 221, SCARSDALE, NY 10583-5015
(914) 722-2600
(914) 722-2609
Mailing address
688 WHITE PLAINS RD, SUITE 221, SCARSDALE, NY 10583-5059
(914) 722-2600
(914) 722-2609
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WJC371
MEDICARE PROVIDER NUMBER
—
Enumeration date
07/12/2008
Last updated
03/04/2015
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