Organization
LAKE COUNTRY UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH R MADEB MD (PHYSICIAN)
(718) 791-0891
Entity
Organization
Contact information
Practice address
316 GRAVESEND NECK RD, BROOKLYN, NY 11223-4843
(718) 791-0891
(646) 835-0815
Mailing address
316 GRAVESEND NECK RD, BROOKLYN, NY 11223-4843
(718) 791-0891
(646) 835-0815
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02897703
—
NY
05
—
06518510
—
NY
Enumeration date
02/24/2020
Last updated
07/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us