Provider Demographics
NPI:1285676536
Name:GRAMERCY UROLOGY SOLUTIONS, PC
Entity Type:Organization
Organization Name:GRAMERCY UROLOGY SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATY
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-254-3570
Mailing Address - Street 1:67 IRVING PL
Mailing Address - Street 2:10TH FLOOR NORTH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2202
Mailing Address - Country:US
Mailing Address - Phone:212-254-3570
Mailing Address - Fax:212-254-5351
Practice Address - Street 1:67 IRVING PL
Practice Address - Street 2:10TH FLOOR NORTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2202
Practice Address - Country:US
Practice Address - Phone:212-254-3570
Practice Address - Fax:212-254-5351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty