Organization
EAST HUDSON UROLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD H FAGIN MD (CHIEF FINANCIAL OFFICER)
(914) 739-1219
Entity
Organization
Contact information
Practice address
644 STONELEIGH AVENUE, SUITE 301, CARMEL, NY 10567
(845) 279-6666
(845) 279-6725
Mailing address
1985 CROMPOND ROAD, BLDG D, CORTLANDT MANOR, NY 10567
(914) 739-1219
(914) 739-2353
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NY
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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