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Organization
QUEENS NEPHROLOGY PRACTICE, PC
Active
Organization
QUEENS NEPHROLOGY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARAYAN D AGRAWAL M. D. (PRESIDENT)
(347) 475-0911
Entity
Organization
Contact information
Practice address
16040 78TH RD, 3RD FLOOR, FRESH MEADOWS, NY 11366-1945
(347) 475-0911
(718) 380-3441
Mailing address
16040 78TH RD, 3RD FLOOR, FRESH MEADOWS, NY 11366-1945
(347) 475-0911
(718) 380-3441
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
225128
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02559795
—
NY
Enumeration date
07/10/2012
Last updated
08/08/2014
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