MEDICARE: SOUTH 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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1255316246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH QUEENS NEPHROLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	17537 LIBERTY AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11433-1325
Country	:	US
Telephone Number	:	718-297-9100
Fax Number	:	718-297-0625

Provider Business Practice Location Address
First Line	:	17537 LIBERTY AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11433-1325
Country	:	US
Telephone Number	:	718-297-9100
Fax Number	:	718-297-0625

Authorized Official
Title or Position	:	NEPHROLOGY
Name	:	DR. EVELYN RUZOL AMARGA
Credential	:	MD
Telephone Number	:	718-297-9100

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	04/20/2008

Similar Medicare Providers

1205957446 — SOUTH QUEENS DIALYSIS CENTER
Practice Location Address:

17537 LIBERTY AVE
JAMAICA, NY
11433-1325

Practice Phone: 718-297-9100
Practice Fax: 718-297-0625

1487971511 — NEW YORK DIALYSIS SERVICES, INC.
Practice Location Address:

17537 LIBERTY AVE
JAMAICA, NY
11433-1325

Practice Phone: 718-297-9100
Practice Fax: 929-224-3006

1215541925 — MS. DEBORAH DEE BRAYTON LCSW-R
Practice Location Address:

11447 175TH ST
JAMAICA, NY
11434-1325

Practice Phone: 917-375-9846
Practice Fax:

1821045485 — JHMC DIAGNOSTIC AND TREATMENT CENTER
Practice Location Address:

11120 MERRICK BLVD
JAMAICA, NY
11433-4016

Practice Phone: 718-206-9888
Practice Fax:

1023037314 — DR. CAROLINE AREVALO DDS
Practice Location Address:

11120 MERRICK BLVD
JAMAICA, NY
11433-4016

Practice Phone: 718-206-9888
Practice Fax:

1326144213 — DR. ROLAND ROSE DC
Practice Location Address:

10825 MERRICK BLVD
JAMAICA, NY
11433-2906

Practice Phone: 718-658-9700
Practice Fax: 718-658-9703

Directions to “SOUTH QUEENS NEPHROLOGY ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.