Lake Success Urolgical Associates
NPI #1104823673 in Lake Success, New York
Provider Information
- NPI Number
- 1104823673
- Entity Type
- Organization
- Organization Name
- Lake Success Urolgical Associates
- Primary Specialty
- Urology
- Enumeration Date
- Jun 30, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2001 MARCUS AVE
- Address 2
- SUITE N-214
- City
- Lake Success
- State
- New York
- ZIP Code
- 11042-1011
- Phone
- (516) 437-4228
Authorized Official
- Name
- RUTH BORRERO
- Title
- BILLING MANAGER
- Phone
- (516) 437-4228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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