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General NPI Number Information
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NPI Number | 1285898882
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Entity Type | Organization
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Legal Business Name | UROGYNECOLOGY OF NY PC
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Dates
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Enumeration Date | 07/12/2008
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 688 WHITE PLAINS RD SUITE 221
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City | SCARSDALE
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State | NY
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Zip | 10583-5015
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Country | US
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Telephone | 914-722-2600
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Fax | 914-722-2609
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Provider Business Mailing Address
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Address Line | 688 WHITE PLAINS RD SUITE 221
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City | SCARSDALE
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State | NY
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Zip | 10583-5059
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Country | US
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Telephone | 914-722-2600
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Fax | 914-722-2609
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BASIL KOCUR
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Credential | MD
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Telephone | 914-722-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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