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ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC NPI 1861838708


NPI Information

NPI: 1861838708
Provider Name: ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 33D0857812

Address:
5700 W GENESEE ST
SUITE 105
CAMILLUS, NY
ZIP 13031
Phone: (315) 478-4185
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ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC is an urology in Camillus, NY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC NPI is 1861838708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5700 W GENESEE ST
SUITE 105
CAMILLUS, NY
ZIP 13031-200
Phone: (315) 478-4185
Fax: (315) 478-0840

The provider's authorized official is Angelo R. Derosalia .
The authorized official title is Ceo and has the following contact phone number (315) 458-3343.

The CLIA number assigned to this NPI record is 33D0857812 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 7/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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