Provider Demographics
NPI:1700941077
Name:FIVE TOWNS UROLOGY,P.C.
Entity Type:Organization
Organization Name:FIVE TOWNS UROLOGY,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEVENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-593-1838
Mailing Address - Street 1:1800 ROCKAWAY AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1677
Mailing Address - Country:US
Mailing Address - Phone:516-593-1838
Mailing Address - Fax:516-593-3071
Practice Address - Street 1:1800 ROCKAWAY AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1677
Practice Address - Country:US
Practice Address - Phone:516-593-1838
Practice Address - Fax:516-593-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163284208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAS181OtherOXFORD
NYAD46099OtherMDNY
NY0021500OtherGHI
NY56114OtherUS HEALTHCARE
NY163284OtherHIP
NY37F121OtherUNITED HEALTHCARE
NY6537OtherVYTRA
NY70083OtherCIGNA
NY4212458OtherAETNA
NYOC1096OtherHEALTHNET PHS
NY4212458OtherAETNA