Organization
UROGYNECOLOGY AND ADVANCED PELVIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH POWERS (OWNER)
(914) 419-2518
Entity
Organization
Contact information
Practice address
25 LAKE ST, WHITE PLAINS, NY 10603-4032
(914) 419-2518
(914) 925-9314
Mailing address
50 ORCHARD AVE, RYE, NY 10580-2806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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