GREAT NECK UROLOGY, PC
Urology at 80 St, New York, NY

License number
New York 154320
Category
Radiology
Type
Urology
Owner
Name: DR. NABET GARO KASABIAN M.D.
Title: PRESIDENT
Phone: (212) 535-0755
Address
Address
103 E 80Th St, New York, NY 10075
National Provider ID: 1336335215
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREAT NECK UROLOGY, PC

103 E 80 St, New York, NY 10021

Status:
Inactive
Inactive reason:
Dissolution
Registration:
May 27, 2003
Inactive since:
Jul 2, 2009
State ID:
2911131
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Nabet G Kasabian Md, 103 E 80 St, New York, NY 10021 (Physical)

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