Organization
ADVANCED SURGICAL UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER Y MARIBAKH (PRESIDENT)
(718) 646-0909
Entity
Organization
Contact information
Practice address
2844 OCEAN PKWY, BROOKLYN, NY 11235-7900
(718) 646-0909
(718) 646-8688
Mailing address
1900 QUENTIN RD, APT A22, BROOKLYN, NY 11229-2369
(718) 646-0909
(718) 646-8688
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
211186
NY
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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