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NPI Code Detail

MEDICARE: QUEENS ARTIFICIAL KIDNEY CENTER

MEDICARE: QUEENS ARTIFICIAL KIDNEY CENTER
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1609997212
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEENS ARTIFICIAL KIDNEY CENTER
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 : OWNER
Name : DR. ROBERT SLIFKIN
Credential : M.D.
Telephone Number : 516-626-8947
Provider Enumeration Date : 04/02/2007
Last Update Date : 09/17/2009

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Directions to “QUEENS ARTIFICIAL KIDNEY CENTER ” Practice Location

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