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33D2073815 CLIA NUMBER - ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC DBA AMP UROLOGY

Laboratory Demographics

CLIA Number: 33D2073815

Facility Name: ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC DBA AMP UROLOGY

Facility Address:
806 WEST BROADWAY
FULTON, NY
ZIP 13069
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Facility Phone Number: 315 297-4700

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1386062990

Taxonomy: 208800000X - Urology
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.

CLIA Record

Field Name Field Value
CLIA Number 33D2073815
LAB Type Physician Office
Facility Name ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC DBA AMP UROLOGY
Street 806 WEST BROADWAY
City FULTON
State NY
ZIP 13069
Phone 315 297-4700
CertificateType 4
CertificateEffectiveDate 11/24/2022
CertificateExpirationDate 11/23/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024