| NPI | 1255418380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ROMANO Billing Manager 516-766-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |