Organization
NORTH SHORE UROLOGY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HARLOWE ROSE MD (PHYSICIAN)
(631) 474-3000
Entity
Organization
Contact information
Practice address
5400 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2028
(631) 474-3000
(631) 474-2476
Mailing address
5400 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2028
(631) 474-3000
(631) 474-2476
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
152168
NY
208800000X
Urology Physician
179311
NY
208800000X
Urology Physician
1934791
NY
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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