Provider Demographics
NPI:1881867281
Name:ASSOCIATES FOR UROLOGIC CARE P.C.
Entity Type:Organization
Organization Name:ASSOCIATES FOR UROLOGIC CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-823-1800
Mailing Address - Street 1:1695 EASTCHESTER RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2374
Mailing Address - Country:US
Mailing Address - Phone:718-823-1800
Mailing Address - Fax:
Practice Address - Street 1:1695 EASTCHESTER RD
Practice Address - Street 2:SUITE 302
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2374
Practice Address - Country:US
Practice Address - Phone:718-823-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W19151Medicare PIN