MEDICARE: METROPOLITAN UROLOGIC SERVICES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	181883	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578547162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN UROLOGIC SERVICES PC

Provider Business Mailing Address
First Line	:	438 ELMONT RD
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-3529
Country	:	US
Telephone Number	:	516-328-8775
Fax Number	:	516-328-8713

Provider Business Practice Location Address
First Line	:	438 ELMONT RD
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-3529
Country	:	US
Telephone Number	:	516-328-8775
Fax Number	:	516-328-8713

Authorized Official
Title or Position	:	UROLOGIST
Name	:	CARLTON BARNSWELL
Credential	:	MD
Telephone Number	:	516-328-8775

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	08/22/2020

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