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NPI Code Detail

MEDICARE: QUEENS NEPHROLOGY ASSOCIATES

MEDICARE: QUEENS NEPHROLOGY ASSOCIATES
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1740272814
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEENS NEPHROLOGY ASSOCIATES
Provider Business Mailing Address
First Line : 3435 70TH ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-1055
Country : US
Telephone Number : 718-651-9700
Fax Number : 718-533-0264
Provider Business Practice Location Address
First Line : 3435 70TH ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-1055
Country : US
Telephone Number : 718-651-9700
Fax Number : 718-533-0264
Authorized Official
Title or Position : NEPHROLOGY
Name : MRS. EVELYN RUZOL AMARGA
Credential : MD
Telephone Number : 718-651-9700
Provider Enumeration Date : 08/16/2005
Last Update Date : 08/22/2020

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Directions to “QUEENS NEPHROLOGY ASSOCIATES ” Practice Location

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