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Organization
MOHAWK VALLEY NEPHROLOGY ASSOCIATES, LLP
Active
Organization
MOHAWK VALLEY NEPHROLOGY ASSOCIATES, LLP
Active
Other names
Mohawk Valley Nephrology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE A LANE (BILLING MANAGER)
(315) 724-3880
Entity
Organization
Contact information
Practice address
125 BUSINESS PARK DR STE 150, UTICA, NY 13502-6322
(315) 735-3541
(315) 724-3255
Mailing address
125 BUSINESS PARK DR STE 150, UTICA, NY 13502-6322
(315) 735-3541
(315) 724-3255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC5232
RAILROAD MEDICARE
NY
Enumeration date
07/16/2006
Last updated
09/06/2024
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