# EAST END NEPHROLOGY, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265474951
- **Authorized official:** DR. SHARMINI JAYAMAHA M.D. (PRESIDENT)
- **Authorized official phone:** (631) 477-1755

## Contact information

- **Practice address:** 222 MANOR PL, SUITE \# 102, GREENPORT, NY 11944-1261
- **Practice address phone:** (631) 477-1755
- **Practice address fax:** (631) 477-1754
- **Mailing address:** 222 MANOR PL, SUITE \# 102, GREENPORT, NY 11944-1261
- **Mailing address phone:** (631) 477-1755
- **Mailing address fax:** (631) 477-1754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 08/22/2020