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General NPI Number Information
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NPI Number | 1578387445
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Entity Type | Organization
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Legal Business Name | UROLOGICAL ROBOTIC SURGERY PC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 308 WILLOW AVE RM 111
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City | HOBOKEN
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State | NJ
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Zip | 07030-3808
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Country | US
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Telephone | 516-584-8710
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Fax | 516-584-8711
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Provider Business Mailing Address
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Address Line | 135 PINELAWN RD STE 115
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City | MELVILLE
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State | NY
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Zip | 11747-3198
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Country | US
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Telephone | 516-584-8710
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Fax | 516-584-8711
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | ANDREA VIDALI
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Credential | MD
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Telephone | 631-456-2514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number |
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License Number State |
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