Organization
NY KIDNEY HYPERTENSION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEAL R. GUCCIONE MD (PRESIDENT)
(718) 881-2100
Entity
Organization
Contact information
Practice address
3322 BAINBRIDGE AVE, BRONX, NY 10467-2849
(718) 881-2100
(718) 881-5164
Mailing address
PO BOX 1042, RIDGEFIELD, CT 06877-9042
(718) 881-2100
(718) 881-5164
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
211368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02560850
—
NY
Enumeration date
04/08/2008
Last updated
10/18/2012
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