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NPI 1104143064

NPI 1104143064 : METROPOLITAN UROLOGY PLLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1104143064
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    Entity Type          |    Organization 
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    Legal Business Name  |    METROPOLITAN UROLOGY PLLC 
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Dates
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    Enumeration Date     |    04/30/2010
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    Last Update Date     |    04/30/2010
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Provider Practice Location Address
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    Address Line         |    242 E 72ND ST SUITE 1B
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-4574
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    Country              |    US
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    Telephone            |    212-535-5888
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    Fax                  |    212-535-0961
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2448 LENOX HILL STATION
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021
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    Country              |    US
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    Telephone            |    212-535-5888
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    Fax                  |    212-535-0961
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. BENJAMIM B CHOI 
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    Credential           |    
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    Telephone            |    212-535-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    202976
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    License Number State |    NY
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