Organization
STAT UROLOGY MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIV LARISH (MD)
(212) 370-4170
Entity
Organization
Contact information
Practice address
945 5TH AVE, NEW YORK, NY 10021-2661
(718) 483-7372
Mailing address
4 E 76TH ST, NEW YORK, NY 10021-2676
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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