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General NPI Number Information
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NPI Number | 1578547162
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Entity Type | Organization
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Legal Business Name | METROPOLITAN UROLOGIC SERVICES PC
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 438 ELMONT RD
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City | ELMONT
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State | NY
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Zip | 11003-3529
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Country | US
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Telephone | 516-328-8775
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Fax | 516-328-8713
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Provider Business Mailing Address
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Address Line | 438 ELMONT RD
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City | ELMONT
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State | NY
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Zip | 11003-3529
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Country | US
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Telephone | 516-328-8775
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Fax | 516-328-8713
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Authorized Official
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Title or Position | UROLOGIST
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Name | CARLTON BARNSWELL
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Credential | MD
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Telephone | 516-328-8775
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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 | 181883
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License Number State | NY
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