Provider Demographics
NPI:1043390701
Name:ELMIRA UROLOGICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:ELMIRA UROLOGICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MULHOLLEN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:607-733-1156
Mailing Address - Street 1:301 HOFFMAN ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14905-2220
Mailing Address - Country:US
Mailing Address - Phone:607-733-1156
Mailing Address - Fax:607-737-7968
Practice Address - Street 1:301 HOFFMAN ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14905-2220
Practice Address - Country:US
Practice Address - Phone:607-733-1156
Practice Address - Fax:607-737-7968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty