Provider Demographics
NPI:1023216264
Name:BROOKLYN UROLOGIC HEALTH & ASSOCIATES
Entity Type:Organization
Organization Name:BROOKLYN UROLOGIC HEALTH & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GULMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-240-5324
Mailing Address - Street 1:1 BROOKDALE PLZ
Mailing Address - Street 2:SUITE: 5C4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3139
Mailing Address - Country:US
Mailing Address - Phone:718-240-5324
Mailing Address - Fax:718-240-6605
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:SUITE: 5C4
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3139
Practice Address - Country:US
Practice Address - Phone:718-240-5324
Practice Address - Fax:718-240-6605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152009261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty