Organization
NORTHEAST UROLOGICAL SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY A SHUMAN MD (VICE PRESIDENT)
(518) 434-1283
Entity
Organization
Contact information
Practice address
63 SHAKER RD SUITE 202, ALBANY MEMORIAL PROFESSIONAL BLDG, ALBANY, NY 12204-1030
(518) 434-1283
(518) 434-0730
Mailing address
63 SHAKER RD SUITE 202, ALBANY MEMORIAL PROFESSIONAL, ALBANY, NY 12204-1030
(518) 434-1283
(518) 434-0730
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
199463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01571237
—
NY
01
—
1811964430
NPI
—
Enumeration date
11/01/2006
Last updated
06/25/2010
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