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Organization
KIDNEY HYPERTENSION SPECIALISTS OF NY PC
Active
Organization
KIDNEY HYPERTENSION SPECIALISTS OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA VIRGINIA DEVITA MD (VICE-PRESIDENT)
(212) 439-9251
Entity
Organization
Contact information
Practice address
130 E 77TH ST, NEW YORK, NY 10021-1851
(212) 439-9251
(212) 734-2133
Mailing address
130 E 77TH ST, NEW YORK, NY 10075-1851
(212) 439-9251
(212) 734-2133
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02310043
—
NY
Enumeration date
02/23/2007
Last updated
06/04/2009
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