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UROLOGIC SURGICAL ASSOCIATES PC NPI 1659322022


NPI Information

NPI: 1659322022
Provider Name: UROLOGIC SURGICAL ASSOCIATES PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 33D0923908

Address:
4711 12TH AVE
BROOKLYN, NY
ZIP 11219
Phone: (718) 436-3900
Get Directions

UROLOGIC SURGICAL ASSOCIATES PC is an urology in Brooklyn, 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. UROLOGIC SURGICAL ASSOCIATES PC NPI is 1659322022. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4711 12TH AVE
BROOKLYN, NY
ZIP 11219-540
Phone: (718) 436-3900

The provider's authorized official is Sasha Wainstein .
The authorized official title is President and has the following contact phone number (718) 436-3900.

The CLIA number assigned to this NPI record is 33D0923908 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 6/30/2020.


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
1208800000XUrology117965NEW 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
100219961MEDICAIDNEW YORK

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

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