UROLOGY DYNAMIC, PC
Urology at 113 St, Flushing, NY

License number
New York 152821
Category
Radiology
Type
Urology
Owner
Name: AYAZ RASOOL MD
Title: PRESIDENT
Phone: (718) 268-7262
Address
Address
7603 113Th St, Flushing, NY 11375
National Provider ID: 1558492314
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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UROLOGY DYNAMIC PC

Flushing, NY

Industry:
Medical Doctor's Office
Registration:
Nov 19, 2003
Addresses:
76-03 113 St, Forest Hills, NY 11375 (Physical)
7603 113 St, Flushing, NY 11375
State ID:
2979446
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Presidents:
Ayaz Rasool Md, 16 Quaker Rdg Dr, Glen Head, NY 11545 (Physical),Eva Loudaros (Principal),Ayaz Rasool (President)

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