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Organization

PARK UROLOGIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES L KNOLL MD (OWNER)
(212) 679-6464
Entity
Organization

Contact information

Practice address
461 PARK AVE S, 5TH FLOOR, NEW YORK, NY 10016-6822
(212) 679-6464
(212) 679-6472
Mailing address
461 PARK AVE S, 5TH FLOOR, NEW YORK, NY 10016-6822
(212) 679-6464
(212) 679-6472

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
208800000X
Urology Physician
Primary
NY
208800000X
Urology Physician

Other

Enumeration date
12/01/2006
Last updated
06/03/2014
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