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Organization

NEPHROLOGY FOUNDATION OF BROOKLYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLEN I HERMAN (CEO)
(718) 857-3000
Entity
Organization

Contact information

Practice address
63 PENNSYLVANIA AVE, BROOKLYN, NY 11207-2405
(718) 345-9000
Mailing address
63 PENNSYLVANIA AVE, BROOKLYN, NY 11207-2405

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7001249R
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00457658
NY
Enumeration date
07/31/2006
Last updated
06/27/2008
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