MEDICARE: FRUMKIN NEPHROLOGY ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	173000000X	Legal Medicine
2	174400000X	Specialist
3	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1063474930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRUMKIN NEPHROLOGY ASSOCIATES PC

Provider Business Mailing Address
First Line	:	30 E 37TH ST APT M
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-3019
Country	:	US
Telephone Number	:	718-830-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	9715 64TH RD LOWR LEVEL
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-2250
Country	:	US
Telephone Number	:	718-830-3333
Fax Number	:	718-830-3722

Authorized Official
Title or Position	:	MD
Name	:	DALIA FRUMKIN
Credential	:
Telephone Number	:	718-830-3333

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	05/22/2024

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