Organization
NEW ALBANY UROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BERNSTEIN M.D. (OWNER)
(662) 539-0233
Entity
Organization
Contact information
Practice address
303 J. H. PHILLIPS LANE, NEW ALBANY, MS 38652-2428
(662) 539-0233
(662) 538-0996
Mailing address
PO BOX 777, NEW ALBANY, MS 38652-0777
(662) 539-0233
(662) 538-0996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17918
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03105381
—
MS
05
—
07752582
—
MS
01
—
P00051759
RAILROAD MEDICARE
MS
Enumeration date
05/04/2006
Last updated
08/22/2020
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