Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Urology Practice of New York, PLLC

Organization Urology Physician · NPI 1659782589

Innovative Urology Practice of New York, PLLC is an Urology Physician in Rego Park, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

92-29 Queens Blvd Ste 2B
Rego Park, NY 11374-1072
Phone: (718) 606-6912
Fax: (718) 606-6914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 248604 (NY)

Record details

NPI number1659782589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Fishman — Owner · (516) 455-1170
NPI enumeratedMay 14, 2014
Last updated in NPPESJuly 28, 2014
Mailing address92-29 Queens Blvd., Suite 2b, Rego Park, NY 11374-1072

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