Urology Associates of Northeastern New York PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

153178 Issued in NY

Legal business name

UROLOGY ASSOCIATES OF NORTHEASTERN NEW YORK PC

Practice address

15 Degrandpre Way
Plattsburgh, NY 12901-6449

Phone

(518) 561-3900

Fax

(518) 561-7843

NPI assigned

Oct 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Michael Banko, M.D.

Title

President

Phone

(518) 561-3900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1750471082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DEGRANDPRE WAY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016449",
            "telephone_number": "418-561-3900",
            "fax_number": "518-561-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DEGRANDPRE WAY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016449",
            "telephone_number": "518-561-3900",
            "fax_number": "518-561-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF NORTHEASTERN NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "BANKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-561-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "153178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Turner, DO
• Kelly M. Tursky, NURSE
• Cheyenne Somer Tyo, LMSW, CASAC
• Aishwarya Udayan
• Reinier F Ultee, MD
• Ursula M Jones, LCSW
• Valcour Imaging LLC
• June Vanalphen
• Christa Vancour
• Guadalupe Vanderhorst Rodriguez, ACUPUNCTURIST

• Urology Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.