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Organization
NASSAU NEPHROLOGY LLP
Active
Organization
NASSAU NEPHROLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH C CASELNEVA (NEPHROLOGIST)
(516) 409-0106
Entity
Organization
Contact information
Practice address
250 PETTIT AVENUE, SUITE 4, BELLMORE, NY 11710
(516) 409-0106
(516) 409-0108
Mailing address
250 PETTIT AVENUE, SUITE 4, BELLMORE, NY 11710
(516) 409-0106
(516) 409-0108
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02044677
—
NY
Enumeration date
01/17/2006
Last updated
06/20/2018
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