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

Lake Success Urolgical Associates

Organization Urology Physician · NPI 1104823673

Lake Success Urolgical Associates is an Urology Physician in Lake Success, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

2001 Marcus Ave Ste N-214
Lake Success, NY 11042-1011
Phone: (516) 437-4228
Fax: (516) 355-0637
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X (NY)

Record details

NPI number1104823673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Borrero — Billing Manager · (516) 437-4228
NPI enumeratedJune 30, 2005
Last updated in NPPESJuly 21, 2022
Mailing address2001 Marcus Ave, Suite N-214, Lake Success, NY 11042-1011

Other providers in Lake Success