MOHAWK VALLEY UROLOGY PC (NPI# 1669473583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669473583 |
| Entity Type | Organization |
| Organization Name | MOHAWK VALLEY UROLOGY PC |
| Practice Address |
1703 Genesee St Utica NY 13501-5613 |
| Practice Telephone | 3157241012 |
| Practice Fax Number | 3157245219 |
| Mailing Telephone | 3157241012 |
| Mailing Fax Number | 3157245219 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | RONALD I KAYE (PRESIDENT) |
| Authorized Official Telephone | 3157241012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ========= | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MVP | 245112 | 01 | |
| MVP | 368817 | 01 | |
| MVP | 245131 | 01 | |
| GHI | 48271 | 01 |
| Street Address |
1703 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip Code | 13501-5613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508866054 | Lashawnda Latrice Giuffrida | Physician Assistant | 1703 Genesee St, Utica, NY 13501-5613 | 2005-07-27 |
| 1518190453 | Raouf Kodsy, M.d. Physician PC | Family Medicine | 1703 Genesee St, Utica, NY 13501 | 2009-08-26 |
| 1366432213 | Raouf A Kodsy | Family Medicine | 1703 Genesee St, Utica, NY 13501-5613 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700349248 | Maria Kuehl | Student in an Organized Health Care Education/Training Program | 120 Hobart Street, Residency Program, Utica, NY 13501 | 2019-04-11 |
| 1497237622 | Bobs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 430 Bleecker St, Utica, NY 13501 | 2018-09-04 |
| 1528565421 | Michele Della Gala | Social Worker | 1427 Genesee Street, Utica, NY 13501 | 2018-04-09 |
| 1295274884 | Sheila Denita Boyd | Licensed Practical Nurse | 505 Mary Street, Utica, NY 13501 | 2017-02-16 |
| 1770034993 | Curry Mcmahon | Massage Therapist | 2707 Genesee St, Utica, NY 13501 | 2016-10-24 |
| 1689123614 | Angelica Pascone Martin | Physician Assistant | 2215 Genesee St., Utica, NY 13501 | 2016-10-03 |
| 1942673942 | Krista Lee Klopotek | Registered Nurse | 1151 Albany Street, Albany Elementary School, Utica, NY 13501 | 2015-11-12 |
| 1841618089 | Katherine Macaulay Lucey | Social Worker | 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 | 2014-04-04 |
| 1578809067 | Laurie A Baker | Social Worker | 2307 Genesee St, Utica, NY 13501 | 2013-01-02 |
| 1104170505 | Amanda Knoeller | Social Worker | 683 Mary Street, Utica, NY 13501 | 2012-11-07 |
| Find all providers in zip 13501 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1518918002 | Stephen John Culver | Urology | 2811 Genesee St, Utica, NY 13501-6525 | 2006-05-12 |
| 1073690830 | Utica Urologic Associates, P.C. | Urology | 3 Parkside Ct, Utica, NY 13501-5643 | 2006-11-01 |
| 1326138033 | Michigan Institute of Urology PC | Urology | 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | 2006-10-13 |
| 1083679070 | Earl R Koenig | Urology | 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | 2006-04-20 |
| 1043275019 | John R Harding | Urology | 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 1245796846 | Miroslav L Djordjevic | Urology | 1425 Madison Ave Fl 6, New York, NY 10029-6514 | 2019-02-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.