Organization · Type 2 NPI

Brightwaters Gynecology PC

Urology Physician · Sleepy Hollow, NY

NPI number 1316509979 Active

Practice location

755 N Broadway
Sleepy Hollow, NY 10591-1075

Call (914) 302-0100 Map

Fax (914) 302-0600

Mailing address

2000 Marcus Ave
New Hyde Park, NY 11042-1069

Other practice locations

701 N Broadway, Sleepy Hollow, NY 10591-1096 · (516) 302-0100

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	None listed
Urology Physician Primary	208800000X	None listed

Urology Physician: 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.

27 other providers at this address

NPI record

NPI: 1316509979
Entity type: Organization (Type 2)
Issued: Jul 3, 2019
Last updated: Aug 9, 2019
Status: Active

Other names

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Phelps Memorial Hospital Association · doing business as
Phelps Memorial Hospital Association · doing business as

Authorized official

Mrs. Michele L Cusack
Senior Vice President & CFO
(516) 321-6058

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316509979

Brightwaters Gynecology PC's National Provider Identifier is 1316509979, issued on Jul 3, 2019. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Sleepy Hollow, NY. The record was last updated on Aug 9, 2019.