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Organization

NY UROGYNECOLOGY & RECONSTRUCTIVE PELVIC SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAROUTYOUN MARGOSSIAN MD (PRESIDENT)
(718) 836-9579
Entity
Organization

Contact information

Practice address
7206 NARROWS AVE, BROOKLYN, NY 11209-1811
(718) 836-9579
Mailing address
25 HASTINGS CT, STATEN ISLAND, NY 10309-3552
(718) 966-8346

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
217158-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03323677
NY
01
DE1610
MEDICARE RAILROAD
NY
Enumeration date
12/20/2006
Last updated
02/27/2014
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