Oswego County Urology PC
Organization Active NPI Urology Physician · Fulton, NY
NPI 1023188596 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023188596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- License
- 234270 (NY)
- Legal business name
- OSWEGO COUNTY UROLOGY PC
- Practice address
- 826 Holly Dr
Fulton, NY 13069 - Phone
- (315) 592-7375
- Fax
- (315) 598-8664
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Felix Takor Oben, MD
- Title
- Physician
- Phone
- (315) 592-7375
Practitioners 12
-
David Campanile, MD
-
David C Canfield, MD
-
Mervat Eid, MD
-
Soo Hurh, MD
-
Joseph Mora, MD
-
Bashar Omarbasha, MD
-
John F Piper, MD
-
Scott M Reizun, MD
-
Craig S Reynolds, MD
-
Jeffrey Schaffel, MD
National Provider Directory
Locations
17 S 1st St
Fulton, NY 13069
Phone (315) 592-7375
826 Holly Dr
Fulton, NY 13069
Phone (315) 592-7375
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | 234270 | NY | Yes |
Addresses
Primary practice location
826 Holly Dr
Fulton, NY 13069
Mailing address
826 Holly Dr
Fulton, NY 13069
Phone (315) 592-7375
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02592881 | Medicaid | NY |
Other names
- Dr Feliz Oben MD
Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.