Organization
UROLOGIC SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA WAINSTEIN (PRESIDENT)
(718) 436-3900
Entity
Organization
Contact information
Practice address
4711 12TH AVE, BROOKLYN, NY 11219-2540
(718) 436-3900
Mailing address
4711 12TH AVE, BROOKLYN, NY 11219-2540
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
117965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00219961
—
NY
Enumeration date
05/12/2006
Last updated
06/30/2020
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