Organization
METROPOLITAN LITHOTRIPTOR ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PAVLICA (EXECUTIVE VP)
(646) 742-8802
Entity
Organization
Contact information
Practice address
176-60 UNION TURNPIKE, SUITE 200, FRESH MEADOWS, NY 11366
(646) 742-8800
(646) 742-8850
Mailing address
205 LEXINGTON AVENUE, FLOOR 15, NEW YORK, NY 10016
(646) 742-8800
(646) 742-8850
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001151
HORIZON
—
01
—
1000332
GHI
—
01
—
293999
UNITED HEALTH CARE
—
01
—
346777374
VYTRA
—
01
—
8459536
AETNA
—
01
—
97003
CIGNA
—
01
—
ANC144
OXFORD
—
05
—
AZ00256
—
NY
01
—
IC7854
HEALTHNET
—
Enumeration date
07/02/2006
Last updated
12/14/2018
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