Provider Demographics
NPI:1194924365
Name:SOUND SHORE UROLOGY GROUP PC
Entity type:Organization
Organization Name:SOUND SHORE UROLOGY GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-636-2121
Mailing Address - Street 1:12O WARREN STREET
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5403
Mailing Address - Country:US
Mailing Address - Phone:914-636-2121
Mailing Address - Fax:914-636-3625
Practice Address - Street 1:12O WARREN ST
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5403
Practice Address - Country:US
Practice Address - Phone:914-636-2121
Practice Address - Fax:914-636-3625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182589208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty