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General NPI Number Information
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NPI Number | 1275681926
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Entity Type | Organization
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Legal Business Name | UROLOGY SPECIALISTS OF CNY, PC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6 EUCLID AVE
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City | CORTLAND
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State | NY
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Zip | 13045-1257
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Country | US
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Telephone | 607-753-9076
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Fax | 607-753-7503
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Provider Business Mailing Address
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Address Line | 6 EUCLID AVE
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City | CORTLAND
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State | NY
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Zip | 13045-1257
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Country | US
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Telephone | 607-753-9076
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Fax | 607-753-7503
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMIN M. ELHASSAN
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Credential | MD
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Telephone | 607-753-9076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 140686
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License Number State | NY
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