AMSTERDAM UROLOGY ASSOCIATES PC
Urology at Guy Park Ave, West Glenville, NY

License number
New York 1326381
Category
Radiology
Type
Urology
Owner
Name: MOHAMMAD REZA GHAZI-MOGHADAM MD
Title: PHYSICIAN
Phone: (518) 843-1449
Address
Address
425 Guy Park Ave SUITE 203, West Glenville, NY 12010
National Provider ID: 1083708283
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AMSTERDAM UROLOGY ASSOCIATES, PC

West Glenville, NY

Registration:
Jan 9, 1995
Addresses:
425 Guy Park Ave SUITE 203, Amsterdam, NY 12010 (Physical)
425 Guy Park Ave STE 203, Amsterdam, NY 12010 (Physical)
State ID:
1882800
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Md Mohammad R. Ghazi-Moghadam, 425 Guy Park Ave SUITE 203, Amsterdam, NY 12010 (Physical)

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