Healthcare Provider Details

I. General information

NPI: 1356722524
Provider Name (Legal Business Name): TOTAL UROLOGY CARE OF NEW YORK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2015
Last Update Date: 06/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 W 51ST ST 8TH FLOOR
NEW YORK NY
10019-6910
US

IV. Provider business mailing address

7 W 51ST ST 8TH FLOOR
NEW YORK NY
10019-6910
US

V. Phone/Fax

Practice location:
  • Phone: 212-757-5275
  • Fax:
Mailing address:
  • Phone: 212-757-5275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH KAVALER
Title or Position: OWNER
Credential: MD
Phone: 212-757-5275