Queens Nassau Nephrology Services Pllc
LBN: Queens Nassau Nephrology Services Pllc
Queens Nassau Nephrology Services Pllc is an health care organization with primary practice located at 300 Old Country Road 111, Mineola NY 11501-4112. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
Queens Nassau Nephrology Services Pllc can be contacted via phone (516) 745-0500, or through Goncharuk, Andrey via phone (516) 745-0500.
Contact Information
Primary practice address
300 Old Country Road 111
Mineola NY 11501-4112
Phone: (516) 745-0500
Fax: (516) 745-1534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | New York | |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 199896 | New York |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | New York |
Profile Details
| NPI number | 1992934467 |
|---|---|
| LBN Legal business name | Queens Nassau Nephrology Services Pllc |
| DBA Doing business as | |
| Authorized official | Goncharuk, Andrey Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2009 |
| Last updated | Dec 5th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992934467 | NPPES |
| New York | MEDICAID | 03340883 |
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