Amsterdam Urology Associates PC
Organization Active NPI Urology Physician · Amsterdam, NY
NPI 1083708283 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1083708283
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- License
- 1326381 (NY)
- Legal business name
- AMSTERDAM UROLOGY ASSOCIATES PC
- Practice address
- 425 Guy Park Avenue
Suite 203
Amsterdam, NY 12010 - Phone
- (518) 843-1449
- Fax
- (518) 843-8215
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mohammad Reza Ghazi-Moghadam, MD
- Title
- Physician
- Phone
- (518) 843-1449
National Provider Directory
Locations
425 Guy Park Ave
Ste 203
Amsterdam, NY 12010
Phone (518) 843-1449
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | 1326381 | NY | Yes |
Addresses
Primary practice location
425 Guy Park Avenue
Suite 203
Amsterdam, NY 12010
Mailing address
425 Guy Park Avenue
Suite 203
Amsterdam, NY 12010
Phone (518) 843-1449
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24109 | Other | MVP | |
| 00557268 | Medicaid | NY | |
| 10000753 | Other | CDPHP |
Other providers in Amsterdam, NY
- Amsterdam Memorial Hospital
- Amsterdam Memorial Hospital
- Amsterdam Orthopedics, Charles J Bertuch,Jr,MD,PC
- Amsterdam Pathology Associates PC
- Amsterdam Rec LLC
- Eric M Andolina
- Manasa Anipindi
- Kristine G Arandia-Duy
- Julie Milagros Araujo
- Michael A Araya
All providers in Amsterdam, NY · Urology Physician in New York
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.