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ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC NPI 1386062990


NPI Information

NPI: 1386062990
Provider Name: ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 33D2073815

Address:
806 W BROADWAY
FULTON, NY
ZIP 13069
Phone: (315) 297-4700
Get Directions

ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC is an urology in Fulton, 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 1386062990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

806 W BROADWAY
FULTON, NY
ZIP 13069-533
Phone: (315) 297-4700

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 33D2073815 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2014 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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