| NPI | 1144276627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE J CASDEN Credentialing Manager 718-780-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 154270-1) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-06-24 |