| NPI | 1083962443 |
|---|---|
| Doing Business As | UPSTATE UROLOGY OF ROME |
| Entity Type | Organization |
| Authorized Contact | CHESTER PATRICK President 315-336-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |