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 only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Queens Nassau Nephrology Services Pllc can be contacted via phone (516) 745-0500, or through Goncharuck, Andre 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:
Map and Directions
Authorized official contact:
Name: Goncharuck, Andre Doctor of Medicine (MD)
Phone: (516) 745-0500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1770988909
LBN Legal business name Queens Nassau Nephrology Services Pllc
DBA Doing business as
Authorized official Goncharuck, Andre Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2014
Last updated Oct 30th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770988909 NPPES
New York MEDICAID 03340883

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