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NORTHEAST UROLOGICAL SPECIALISTS P.C. NPI 1649358110


NPI Information

NPI: 1649358110
Provider Name: NORTHEAST UROLOGICAL SPECIALISTS, P.C.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
63 SHAKER RD SUITE 202
ALBANY MEMORIAL PROFESSIONAL BLDG
ALBANY, NY
ZIP 12204
Phone: (518) 434-1283
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NORTHEAST UROLOGICAL SPECIALISTS, P.C. is an urology in Albany, 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. NORTHEAST UROLOGICAL SPECIALISTS, P.C. NPI is 1649358110. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

63 SHAKER RD SUITE 202
ALBANY MEMORIAL PROFESSIONAL BLDG
ALBANY, NY
ZIP 12204-030
Phone: (518) 434-1283
Fax: (518) 434-0730

The provider's authorized official is Barry A Shuman .
The authorized official title is Vice President and has the following contact phone number (518) 434-1283.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 6/25/2010.


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
1208800000XUrology199463NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G07404MEDICARE UPIN
201571237MEDICAIDNEW YORK
354214IMEDICARE PIN
41811964430OTHERNPI

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: 4/28/2024

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