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Organization
RIDGEWOOD BUSHWICK NEPHROLOGY ASSOCIATES,PLLC
Active
Organization
RIDGEWOOD BUSHWICK NEPHROLOGY ASSOCIATES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREMILA BHAT MD (MANAGING MEMBER)
(917) 837-8097
Entity
Organization
Contact information
Practice address
385 SENECA AVE, RIDGEWOOD, NY 11385-1340
(718) 408-6200
(718) 821-2956
Mailing address
385 SENECA AVE, RIDGEWOOD, NY 11385-1340
(718) 408-6200
(718) 821-2956
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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