Organization
NEW YORK UROLOGIC OFFICE BASED SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA VYZHYMOVA (MEDICAL BILLER)
(718) 255-6391
Entity
Organization
Contact information
Practice address
461 PARK AVE S FL 5, NEW YORK, NY 10016-6892
(718) 255-6391
(718) 255-6392
Mailing address
105 EMERSON DR, GREAT NECK, NY 11023-1833
(718) 255-6391
(718) 255-6392
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
05/08/2018
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