Provider Demographics
NPI:1891942157
Name:TODT HILL UROLOGIC GROUP, P.C
Entity Type:Organization
Organization Name:TODT HILL UROLOGIC GROUP, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-448-3880
Mailing Address - Street 1:78 TODT HILL ROAD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4528
Mailing Address - Country:US
Mailing Address - Phone:718-448-3880
Mailing Address - Fax:718-448-9806
Practice Address - Street 1:78 TODT HILL RD
Practice Address - Street 2:SUITE 112
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-4528
Practice Address - Country:US
Practice Address - Phone:718-448-3880
Practice Address - Fax:718-448-9806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty