Utica Urologic Associates, P.c.

NPI #1073690830 in Utica, New York

Provider Information

NPI Number: 1073690830
Entity Type: Organization
Organization Name: Utica Urologic Associates, P.c.
Primary Specialty: Urology
Enumeration Date: Nov 1, 2006
Last Updated: Mar 9, 2010

Practice Location

Address: 3 PARKSIDE CT
City: Utica
State: New York
ZIP Code: 13501-5643
Phone: (315) 797-6370

Authorized Official

Name: DR. W. ANTHONY MANDOUR, MD
Title: PRESIDENT
Phone: (315) 797-6370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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