Organization
TWENTY FIRST CENTURY UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAPAN POLEPALLE MD (PRESIDENT)
(845) 346-5815
Entity
Organization
Contact information
Practice address
47 MANSION RIDGE BLVD, MONROE, NY 10950-5569
(845) 346-5815
Mailing address
47 MANSION RIDGE BLVD, MONROE, NY 10950-5569
(845) 346-5815
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
239371
NY
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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