Organization
UROLOGIC SURGICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A GROTAS MD (OWNER)
(516) 239-8585
Entity
Organization
Contact information
Practice address
290 CENTRAL AVENUE, #207, LAWRENCE, NY 11559-8507
(516) 239-8585
Mailing address
290 CENTRAL AVENUE, #207, LAWRENCE, NY 11559-8507
(516) 239-8585
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
235437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02663321
—
NY
Enumeration date
03/05/2008
Last updated
12/20/2019
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