Organization
ADVANCED UROLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ROTTENBERG (M.D.)
(718) 738-1839
Entity
Organization
Contact information
Practice address
3041 AVENUE U, 2ND FLOOR, BROOKLYN, NY 11229-5126
(718) 692-0020
(718) 692-1739
Mailing address
3041 AVENUE U, 2ND FLOOR, BROOKLYN, NY 11229-5126
(718) 692-0020
(718) 692-1739
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
097895
NY
208800000X
Urology Physician
150681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF7103
MEDICARE RAILROAD
NY
Enumeration date
07/22/2006
Last updated
10/07/2015
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