MEDICARE: METROPOLITAN LITHOTRIPTOR ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1386912368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN LITHOTRIPTOR ASSOCIATES

Provider Business Mailing Address
First Line	:	205 LEXINGTON AVE
Second Line	:	15TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10016-6022
Country	:	US
Telephone Number	:	646-742-8811
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 UTICA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3216
Country	:	US
Telephone Number	:	718-591-8818
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR REVENUE CYCLE MANAGEMENT
Name	:	MRS. YOLANDA MCGEE
Credential	:
Telephone Number	:	646-742-8811

Provider Enumeration Date	:	12/06/2011
Last Update Date	:	12/06/2011

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