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

Madison Avenue Urology, PC

Organization Urology Physician · NPI 1417265315

Madison Avenue Urology, PC is an Urology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

58 E 79th St
New York, NY 10075-0221
Phone: (212) 794-9000
Fax: (212) 794-5149
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 120592 (NY)

Record details

NPI number1417265315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Dillon — President · (212) 794-9000
NPI enumeratedSeptember 14, 2010
Last updated in NPPESSeptember 14, 2010
Mailing address58 E 79th St, New York, NY 10075-0221

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