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Organization
NEPHROLOGY PLLC
Active
Organization
NEPHROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANASH K DASGUPTA M.D. (PRESIDENT)
(914) 376-3330
Entity
Organization
Contact information
Practice address
9A CENTRAL PARK AVE, YONKERS, NY 10705-4746
(914) 376-3330
Mailing address
9A CENTRAL PARK AVE, YONKERS, NY 10705-4746
(914) 376-3330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
129957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00238615
—
NY
01
—
1000005074
AFFINITY HEALTH PLAN
NY
01
—
3300322
GHI
NY
01
—
CK6794
RAILROAD MEDICARE
NY
01
—
P412198
OXFORD
NY
Enumeration date
03/16/2007
Last updated
11/09/2007
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