Organization
UROLOGY ASSOCIATES OF NORTHEASTERN NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL BANKO M.D. (PRESIDENT)
(518) 561-3900
Entity
Organization
Contact information
Practice address
15 DEGRANDPRE WAY, PLATTSBURGH, NY 12901-6449
(518) 561-3900
(518) 561-7843
Mailing address
15 DEGRANDPRE WAY, PLATTSBURGH, NY 12901-6449
(418) 561-3900
(518) 561-7843
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
153178
NY
Other
Enumeration date
10/16/2006
Last updated
02/11/2008
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