Provider Demographics
NPI:1396857330
Name:UMA SANKAR PATY
Entity Type:Organization
Organization Name:UMA SANKAR PATY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDIVIDUAL PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:UMA
Authorized Official - Middle Name:SANKAR
Authorized Official - Last Name:PATY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-745-4700
Mailing Address - Street 1:474 BAYRIDGE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209
Mailing Address - Country:US
Mailing Address - Phone:718-745-4700
Mailing Address - Fax:718-745-1991
Practice Address - Street 1:474 BAYRIDGE PARKWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209
Practice Address - Country:US
Practice Address - Phone:718-745-4700
Practice Address - Fax:718-745-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128718208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00237870Medicaid
NY29825Medicare ID - Type Unspecified
NY00237870Medicaid