Organization
NEW YORK UROLOGIC OFFICE BASED SURGERY PC
Active
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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