Organization
FIFTH AVENUE UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization
Contact information
Practice address
4 E 76TH ST, NEW YORK, NY 10021-2676
(631) 827-8159
Mailing address
4 E 76TH ST, NEW YORK, NY 10021-2676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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