Provider Demographics
NPI:1164655957
Name:ADVANCED UROLOGICAL CARE PC
Entity Type:Organization
Organization Name:ADVANCED UROLOGICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN FRANCOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:EID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-535-6690
Mailing Address - Street 1:435 E 63RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7801
Mailing Address - Country:US
Mailing Address - Phone:212-535-6690
Mailing Address - Fax:212-535-7025
Practice Address - Street 1:435 E 63RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7801
Practice Address - Country:US
Practice Address - Phone:212-535-6690
Practice Address - Fax:212-535-7025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155846208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty