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

Lake Country Urology PLLC

Organization Urology Physician · NPI 1588298053

Lake Country Urology PLLC is an Urology Physician in Brooklyn, New York. Registered with an NPI since 2020.

In the registry since
2020
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

316 Gravesend Neck Rd
Brooklyn, NY 11223-4843
Phone: (718) 791-0891
Fax: (646) 835-0815
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1588298053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ralph Madeb — Physician · (718) 791-0891
NPI enumeratedFebruary 24, 2020
Last updated in NPPESJuly 8, 2024
Certification dateFebruary 24, 2020
Mailing address316 Gravesend Neck Rd, Brooklyn, NY 11223-4843

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