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ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC NPI 1184897423


NPI Information

NPI: 1184897423
Provider Name: ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 33D0976466

Address:
4211 MEDICAL CENTER DR
SUITE 211
FAYETTEVILLE, NY
ZIP 13066
Phone: (315) 329-7900
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ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC is an urology in Fayetteville, 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 1184897423. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4211 MEDICAL CENTER DR
SUITE 211
FAYETTEVILLE, NY
ZIP 13066-637
Phone: (315) 329-7900
Fax: (315) 329-7905

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

The CLIA number assigned to this NPI record is 33D0976466 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2008 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.