| NPI | 1104124379 |
|---|---|
| Doing Business As | SUNY DMC@LICH-UROLOGY |
| Entity Type | Organization |
| Authorized Contact | MARILYN VIENTOS - SOTIRIADIS COO 718-270-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2013-04-04 |